REMOTE POSITION / CLAIMS PROCESSOR

Multi-Line Property and Casualty Claims Representative

Reports To: Claims Manager

Department: Property/Casualty and Workers’ Compensation (PC/WC)

SET SEG is looking for a Multi-Line Property & Casualty Claims Representative who will be responsible for the investigation, negotiation, adjustment, and resolution of designated PC claims. This position reports to the Claims Manager. The Multi-Line Property and Casualty Claims Representative is responsible for the prompt, fair, and efficient handling of a diverse caseload of Property and Casualty claims across multiple lines including general liability, auto liability, auto physical damage, personal injury protection (PIP), property, medical payments and select specialty coverages. This role serves as a primary point of contact for members and plays a key role in delivering high-quality customer service through timely communication, sound judgment, and consistent adherence to organizational standards. The ideal candidate has strong technical claim knowledge, excellent communication skills and experience working with public entities and third-party vendors. This position requires independent judgment, strong documentation practices, and a customer-focused approach with the ability to balance efficiency with accuracy and compliance with applicable laws, regulations, and internal claims handling guidelines.

School Employers Trust (SET) is a non-profit company that was created after a monumental shift in school funding happened in 1965. Today, SET SEG continues to expand and find creative ways to meet the specialized needs of its members. We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave.

You seek understanding and are motivated to tackle projects and problems with the customer in mind. You anticipate needs and preempt challenges and concerns, delivering increasingly relevant customer experiences over time. Investigate, evaluate, negotiate, and resolve assigned claims in compliance with applicable laws, regulations, and internal claims handling standards, with an emphasis on quality and consistency.

Provide high-quality customer service in a fast-paced environment while serving as a primary contact for members.

Maintain accurate, timely and well-organized documentation within the claims management system while managing multiple active claims concurrently.

Deliver clear, accurate, and customer-friendly coverage explanations and written correspondence to help our members understand claim decisions and next steps.

Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.

Provides oversight of medical, legal damage estimates, and miscellaneous invoices to determine if they are reasonable and related to designated claims.

Assigns litigated claims to approved law firms and/or individual attorneys and monitors progress.

Collaborate closely with internal teams, including risk management, underwriting, and claims leadership to support effective claim outcomes.

Other duties as assigned by the Claims Manager.

Bachelor’s Degree; minimum of two years of claims experience handling multi-line claims or an equivalent combination of education and experience.

Must have knowledge of coverage, liability, and complex claims handling procedures.

Excellent verbal and written communication skills, with the ability to deliver clear, professional, and customer-focused communication.

Ability to travel and work remotely on a periodic basis.

Proficiency in Microsoft Office applications, including Excel and Word, with the ability to use technology effectively to document, track and communicate claim activity.

Commitment to continuous learning including willingness to participate in ongoing education with industry recognized training (IIA, AIC or INS or other relevant claims designations)

Several hours per day at a sit/stand desk, average mobility to move around an office environment; able to spend several hours per day at a computer. Occasional in-state travel may be required. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status.