A&S Claims Representative

Glatfelter Insurance Group. • Spring Garden Township, PA

9d • Onsite

About The Position

Glatfelter Insurance Group is seeking an Accident and Sickness Claims Representative who will be responsible for handling emergency service organization claims and specialty benefits from first report to conclusion, with supervision and or direction from the A&S Claims Supervisor or A&S Associate Vice President. Other responsibilities include:

Customer satisfaction; seeks to provide the best claim service available in the marketplace.
Accomplishing claims service and company standards in areas assigned by management.
Setting claim reserves and issuing payments in accordance with assigned financial authority.  

This position is required to be onsite at our Leader Heights, York, PA office.

Requirements

• Secondary school diploma or equivalent, college degree, and Associate in Claims designation preferred.
• Two (2) years experience handling A&S insurance claims, or appropriate transferable concurrent experience in a related field preferred.
• Moderate knowledge of legal process.
• Moderate ability to read and interpret insurance policies and make appropriate decisions grounded on those interpretations.
• Moderate knowledge of insurance coverage and procedures.
• Moderate knowledge of GIG products and services for emergency service organizations. Ability to communicate effectively, both verbally and in writing.
• Ability to utilize a PC and related departmental software.
• Must speak clearly and exhibit the ability to reason and impart information to others. Must be flexible, innovative, self-motivated and able to make sound decisions.
• Emotional stability and maturity are necessary to deal with the pressure of claims handling. 
• Uses analytical ability and independent judgment within guidelines established by management. Objective in identifying claims elements and translating them to equitable settlements.
• Ability to compose letters explaining complex issues.
• Must be able to work independently and prioritize daily tasks in order to meet deadlines. Takes the initiative to continue professional development.
• Demonstrates teamwork and contributes to improvements and the overall success of the assigned team to achieve unit, department and company goals.
• Must have or obtain appropriate licenses within an aggressive period of time.

Responsibilities

• Handles and/or monitors registration and coverage verification of claims. 
• Handles and /or directs the investigation, negotiation and disposition of assigned claims within authority limits. 
• Demonstrates proficiency in developing targeted questions to obtain specific information during claim interviews. 
• Independently gathers and verifies information and documentation necessary for claims evaluation. 
• Settles claims promptly and equitably. Obtains releases as needed. (E) Authorizes and/or issues checks within the limits of financial authority. 
• Maintain a diary system for assigned open claims to ensure necessary tasks are addressed in a timely manner. 
• Identifies and reviews potentially serious cases and fraud indicators with A&S Claims Supervisor or A&S Claims Manager. 
• Handles the assignment of independent vendors and assures efficient use of vendors. 
• Interprets policy forms and provides opinion on coverage. Considers positions of all interested parties within intent of policy and program. 
• Issues Reservations of Rights and/or denial letters after approval by A&S Claims Supervisor or A&S Manager.
• Informs claimant, insured or attorney of denials and justifies denial when applicable. 
• Ensures prompt and proper disposition of claims. 
• Represents GIG through continuous countrywide contact with insured, carriers, agents, claimants, attorneys, vendors, etc. 
• Performs other duties as required by management. 

Benefits

• Glatfelter is honored to have been named a Best Place to Work in PA since 2005.
• We are proud to offer a range of employee benefits and resources that help you protect what matters most - your health care, savings, financial protection and wellbeing.
• In addition to 17 paid holidays, (which includes a personal holiday and mental health and wellness day) we provide a variety of leaves for personal, health, family, and volunteer needs.  
• We believe in fostering our associates' development and offer a range of learning opportunities for associates to hone their professional skills to position themselves for the next steps of their careers.
• We have a tuition reimbursement program for eligible associates to enhance their education, skills, and knowledge in areas that relate to their current position or future positions to which they may transfer or progress.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED