Senior Claim Representative / Manager


Englewood Cliffs, NJ

Not Specified years

Posted 211 days ago

  by    Cindy Winchell

This job is no longer available.

Receive claim reports from clients and third-party claimants. Prepare claim reports and forward to company (Service Standard ? within 24 hours). Maintain follow-up system. Call, email or send update letter to client advising current status (Service Standard ? as described in procedures). Review outstanding claims by following up on first party claims and special third party claims. (Service Standard ?date established by activity prompt). Return all client calls (Service Standard ? same day). Maintain accurate claim statuses within EPIC for general reference (Service Standard ? must always be current). Record reserves and payments of closed claims (other than workers compensation) onto computer (Service Standard ? within 48 hours of receipt). Prepare, review and distribute management, client (as directed by management) and 90 day reports monthly (Service Standard ? to meet time-line of item at hand). Requisition forms and drafts from companies and states (Service Standard ? current forms should be on hand at all times i.e. workers compensation, disability forms). Attend monthly commercial lines, personal lines and claims meeting. Notify management immediately of all disclaimers and reservation of rights letters, as appropriate, claims settling for over $50k and concerned clients. Review quarterly loss runs from carriers and notify management and AE of large claims of which we were not previously aware. Analyze incoming claims and research coverage issues as required. Initiate the scheduling of company and client visits on a regular and as needed basis. Keep claims procedures and company directory up-to-date. Effectively utilize ResourcePro to manage workload. Mentor claims assistance consistently.


Applied/Epic system experiencepreferred.