Ohio Mutual Insurance Group
Associate AMD Claim Representative
Ohio Mutual Insurance Group, Bucyrus, Ohio, United States, 44820
General Summary
Associate AMD Claims Representative is an entry‑level role designed for continuous career growth into the role of AMD Claim Representative. This position learns to investigate and evaluate AMD claims as well as resolve claims from a minor to moderate value. Formal training on claims handling, coverage investigations, negotiations, settlements, diary management, and overall claims resolution are part of the role.
Essential Functions
Complies with company procedures and the applicable State Fair Claims Practices Acts.
Reviews policies and claim forms, and manages all external communication with insureds, claimants, and other contacts associated with the claim to determine coverage, liability and damages.
Maintains accurate claims and investigative reports.
Provides optimal customer service during times of high claim volume, which can be frequent; must be able to manage high call, email, and text volume from various customers.
Handles administrative responsibilities associated with the processing and payment of claims:
records and updates status notes
documents the results of external information gathering
administers correspondence to customers regarding the status of their claims
Issues loss and expense payments within stated authority and comply with check security procedures.
Works in a team environment to:
promote and support the unit, department and organizational goals
communicate effectively
establish positive relationships with team members
work with colleagues effectively and professionally
Performs other duties as assigned.
Working Conditions
Normal office working conditions.
Sitting for extended periods of time.
Eye strain and fatigue.
Extended computer usage.
Handling numerous phone and points of contact from customers daily.
Stress associated with high claims volume, upset customers, making difficult decisions and meeting deadlines.
Skills and Abilities
Must be proficient with operating a computer.
Exceptional customer service skills.
Experience working in a customer service environment where conflict resolution, time management, workload prioritization and follow‑up are key priorities.
Strong organizational and detail‑oriented skills.
Ability to focus and manage with frequent interruptions while dealing with various tasks.
Ability to develop and maintain customer relationships.
Strong verbal and written communication skills.
Ability to manage conflict resolution.
Strong analytical and critical thinking skills.
Education Requirements
High School Graduate/GED
College degree preferred or equivalent work experience.
Supervision Received
Periodic supervision since most duties are repetitive and related with standard instruction and procedures as guides.
Self‑reliant with limited oversight.
Unusual problems are referred frequently to the Claims Unit Manager with suggestions for correction.
Supervision Exercised
None
Seniority Level Entry level
Employment Type Part‑time
Job Function Finance and Sales
Industry Insurance
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Essential Functions
Complies with company procedures and the applicable State Fair Claims Practices Acts.
Reviews policies and claim forms, and manages all external communication with insureds, claimants, and other contacts associated with the claim to determine coverage, liability and damages.
Maintains accurate claims and investigative reports.
Provides optimal customer service during times of high claim volume, which can be frequent; must be able to manage high call, email, and text volume from various customers.
Handles administrative responsibilities associated with the processing and payment of claims:
records and updates status notes
documents the results of external information gathering
administers correspondence to customers regarding the status of their claims
Issues loss and expense payments within stated authority and comply with check security procedures.
Works in a team environment to:
promote and support the unit, department and organizational goals
communicate effectively
establish positive relationships with team members
work with colleagues effectively and professionally
Performs other duties as assigned.
Working Conditions
Normal office working conditions.
Sitting for extended periods of time.
Eye strain and fatigue.
Extended computer usage.
Handling numerous phone and points of contact from customers daily.
Stress associated with high claims volume, upset customers, making difficult decisions and meeting deadlines.
Skills and Abilities
Must be proficient with operating a computer.
Exceptional customer service skills.
Experience working in a customer service environment where conflict resolution, time management, workload prioritization and follow‑up are key priorities.
Strong organizational and detail‑oriented skills.
Ability to focus and manage with frequent interruptions while dealing with various tasks.
Ability to develop and maintain customer relationships.
Strong verbal and written communication skills.
Ability to manage conflict resolution.
Strong analytical and critical thinking skills.
Education Requirements
High School Graduate/GED
College degree preferred or equivalent work experience.
Supervision Received
Periodic supervision since most duties are repetitive and related with standard instruction and procedures as guides.
Self‑reliant with limited oversight.
Unusual problems are referred frequently to the Claims Unit Manager with suggestions for correction.
Supervision Exercised
None
Seniority Level Entry level
Employment Type Part‑time
Job Function Finance and Sales
Industry Insurance
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