Claim Rep I, Physical Damage (Hybrid)
$45k - $57kMapfre
No matter your background, the insurance industry welcomes driven individuals ready to learn, grow, and succeed. As a Claim Representative I - Auto Physical Damage , you'll play a critical role in delivering a seamless and efficient claims experience for our customers.
In this role, you will manage low-complexity, clear-liability Massachusetts first-party auto claims within a high-volume, streamlined environment. You'll have full ownership of your claims, empowering you to drive quick resolutions while delivering exceptional service and building strong customer trust. $1,000 Sign-On Bonus Available! This role offers a hybrid work arrangement , providing the flexibility to work 3 days remotely and 2 days in the office each week. Training Schedule: Monday through Friday: 8:00 a.m. - 4:30 p.m. EST Post-Training Schedule: Monday through Friday: 8:30 a.m. - 5:00 p.m. EST Compensation is commensurate with experience Responsibilities- Manage first-party, low-complexity Massachusetts auto claims that meet Express channel criteria (clear liability, no coverage issues, no injuries, Massachusetts-only exposure, and eligible loss causes)
- Own each assigned claim from start to finish, including proactive communication, investigation, and timely resolution
- Maintain individual accountability for voicemail management, supported by team-level backup when needed
- Apply clear expectations consistently throughout claim investigations
- Accurately document coverage verification and support fast-track appraisal processes
- Leverage AI-enabled guidance tools and predictive models to enhance efficiency and decision-making
- Achieve or exceed key performance metrics, including cycle time, customer contact expectations, tNPS, and productivity goals
- Collaborate cross-functionally with ECC, Training, Quality, Telephony, and Workforce Management (WFM) teams
- Provide service that aligns with established customer service standards and expectations
- Adhere to all internal and external claims handling guidelines and regulatory requirements
- Communicate clearly, concisely, and empathetically in all interactions, including phone and written correspondence
- Demonstrate strong system discipline by effectively managing log-ins, availability, and time tracking to meet service level expectations
- Identify customer needs and service opportunities, responding with urgency and care
- Bring empathy, professionalism, and flexibility to every customer and agent interaction
- Investigate, evaluate, and resolve low-complexity physical damage claims efficiently and accurately
- Utilize available systems and tools to effectively manage assigned claims
- Contact all relevant parties to support accurate coverage and liability determinations while identifying potential exposures
- Meet departmental quality standards and productivity expectations through effective caseload management
- Maintain timely and accurate claim diaries, meeting open and close targets
- Develop and apply knowledge of basic auto policy coverages and exclusions related to low-complexity claims
- Accurately identify claim type, liability indicators, and required documentation to ensure proper routing and next steps
- Recognize potential fraud indicators and partner with leadership to develop appropriate action plans
- Use Guidewire (GW) claims systems effectively for documentation, task management, and coverage verification
- Actively participate in training and development opportunities to build skills and expertise
- Bring a positive, solutions-oriented mindset that reinforces a customer-first culture
- Support team success by sharing knowledge, insights, and best practices
- Demonstrate reliability, accountability, and professionalism in all aspects of your work
- Serve as a steady and dependable team member who helps elevate overall performance and customer experience
- Bachelor's degree in a related field, or equivalent combination of education and relevant experience
- Typically 0-2 years of related experience, or an associate degree with 2-4 years of relevant experience
- $0 Premium Medical Plan Option
Keep more of what you earn. Employees earning under $75,000 who elect single coverage under our Super Value Plan enjoy $0 monthly premiums -comprehensive healthcare at no cost to you.
Vacancy posted 2 days ago
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