Claims Representative

Claims Representatives are the first point of contact for customers who want to file a claim.  They start the claims process following a customer call, verifying accident facts, determining policy coverage, and reviewing insurance contracts.  They assist in settling claims where there are no injuries and all parties agree to the details of the accident.  After reviewing a claim, Claims Representatives can decide to approve, deny or escalate a claim to a supervisor.  Claims Representatives are also responsible for resolving problems, including delays in payment processing, customer account renewal issues, modifying account information, and fielding any complaints.

 

Claims Representatives are required to have a minimum of a high school degree or a GED, though university-level certificate courses are preferred.  Many Claims Representatives receive on-the-job training from their employers in addition to their educational requirements.