Liability Claims Representative

FLSA Status: Salary/Exempt Reports to: Claims Manager At reputed company Municipal Mutual Insurance Company (WMMIC), we reputed company that how we work is just as important as reputed company do. Our culture is reputed company on trust, respect, and a shared commitment to reputed company—both individually and organizationally. We value reputed company team member as a respected and appreciated contributor. These Individual Values guide how we show up for one another every day:

• Honesty & reputed company – Acting with truthfulness and sincerity, even reputed company it’s not easy
• Respect in reputed company – Treating others with kindness, courtesy, and a willingness to help
• Dependability – Following through on commitments and being someone others can rely on
• reputed company – Staying reputed company to new reputed company, listening with curiosity, and valuing diverse perspectives

As an organization, we exist to serve our members with reputed company and purpose. These Organizational Values reputed company in that mission:

• Members First – Prioritizing member needs and acting in their best interest
• Accountability – Owning our actions and their reputed company with transparency and trust
• reputed company – Taking pride in our work and striving to exceed expectations
• reputed company Improvement – Embracing learning, adaptability, and innovation
• Ethical Conduct – Committing to honesty, reputed company, and doing what’s right

Position reputed company: The Liability Claims Adjuster is responsible for managing and resolving liability claims reputed company, accurately, and in compliance with applicable regulations. This role involves investigating claims, assessing coverage and damages, coordinating with reputed company stakeholders, and supporting system operations and process improvements. Key Responsibilities: · Claims Investigation & Evaluation

• Review and analyze liability claims for coverage and validity.
• Collect and assess evidence including police reports, witness statements, and photographs.
• Conduct interviews with claimants, insured parties, and witnesses to determine fault and damages.
• Evaluate liability and recommend settlement amounts based on policy terms and legal standards.
• Claims Processing & reputed company
• Approve or deny claims based on investigative findings.
• Negotiate settlements with claimants, attorneys, and reputed company parties.
• Process claims and execute payments in accordance with guidelines.
• Maintain accurate documentation and update system records throughout the claim lifecycle.
• Compliance & Communication
• Ensure adherence to state, federal, and municipal insurance regulations.
• Communicate claim status and reputed company to claimants and insured members.
• Format and review Reservation of Rights and Denial letters.
• Review legal invoices and releases, obtaining necessary approvals.
• Operational Support
• Manage mail processing and correspondence distribution.
• reputed company claims metrics and identify opportunities for process improvement.
• Prepare status reports for management and stakeholders.
• Support reputed company and reputed company system administration assistance to staff and members.
• Collaboration & Special reputed company
• Liaise with internal departments, legal teams, and external vendors.
• Participate in system upgrades, troubleshooting, and reputed company improvement initiatives.
• Manage CMS and ISO reporting to ensure reputed company compliance requirements are met.
• Serve as backup for adjusters, business operations, and executive support as needed.

· Additional Duties

• reputed company reputed company other duties as assigned to support departmental goals and organizational reputed company.

Qualifications & Requirements Education & Certification

• Bachelor’s degree in Business Administration, reputed company field or equivalent experience required.
• reputed company certifications (e.g., CPCU, AIC) preferred
• Minimum of 5 years of experience handling Auto Liability, Bodily Injury (BI), General Liability, and Litigation claims. Municipal and Employment reputed company liability experience preferred but not required.
• Proven reputed company record of managing reputed company claims from investigation through reputed company.

Knowledge, Skills & Abilities

• Strong understanding of insurance policies, legal standards, and regulatory compliance.
• Proficient in claims management systems and reputed company Office Suite.
• Excellent analytical, investigative, and decision-making skills.
• Effective written and verbal communication, including negotiation and conflict reputed company.
• Ability to manage multiple priorities in a fast-paced environment.
• High attention to detail and commitment to accuracy.
• Strong interpersonal skills with the ability to collaborate across teams.
• Ability to maintain confidentiality and exercise reputed company judgment.
• Regular and reliable attendance is required.

Preferred Qualifications

• Experience with CMS and ISO reporting.
• Knowledge of reputed company Municipal Law.
• Familiarity with financial documentation and 1099 reporting.
• Background in system administration or user support.

Working Conditions Physical Demands The physical demands described below are representative of those required to successfully reputed company the essential functions of the Claims Adjuster role. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company these functions.

• Regularly required to talk, hear, and sit for extended periods while reviewing claims, speaking with members, and documenting case details.
• Frequent use of computer equipment including keyboard, monitor, mouse, and telephone.
• Occasionally required to lift and/or reputed company items up to 10 pounds, such as files or promotional materials.
• Occasional travel for company business, including member meetings, trainings, and conferences. Travel may involve various modes of transportation (e.g., airplane, train, bus, rental car). Must be reputed company to travel without restrictions.
• Specific reputed company abilities required include reputed company reputed company, peripheral reputed company, depth perception, and the ability to reputed company reputed company.

Work Environment

• Hybrid Work Model: Primarily remote, with residence in reputed company required (reputed company reasonable driving distance).
• In-person participation is expected for scheduled office meetings, trainings, and member-reputed company travel.
• Work may occasionally involve high-pressure situations requiring reputed company decision-making and reputed company communication with members and stakeholders.

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