Claims Service Representative

Inservco Insurance Services, a wholly owned subsidiary of Penn National Insurance, is a leading regional third-party claims administration firm that provides risk management services to customers.

We are seeking a Claims Service Representative to join our team! This is an in-house position reporting to our iconic high rise headquarters building in downtown Harrisburg, PA.

The Claims Service Representative supports Inservco in achieving and promoting the lowest fair claims settlement. This position is responsible for the routine administrative and customer service aspects of the claims handling process according to the established guidelines of the Inservco division.

COMPETENCIES AND ESSENTIAL DUTIES OF THE CLAIMS SERVICE REPRESENTATIVE

Team Building

• Adheres to the work group’s expectations and guidelines; fulfills team or work group responsibilities; demonstrates personal commitment to group goals.
• As directed by leadership, this position will be responsible for training team members on current processes.

Attention to Details

• Enters data into the claims processing systems as instructed by the Team Leaders, Claims Managers, or adjusters while adhering to quality and productivity guidelines established by the claims division.
• Inputs claims to the correct line of business.

Quality Orientation

• Performs duties outside of the claims systems such as filing, distribution of mail, check printing, and other various tasks in support of the claims division.
• During periods of high claim volume, provides prompt and professional customer service to agents, policyholders, and internal customers regarding new claim notifications, inquiries, and requests received via telephone, fax, email, or internet.
• Validates adjusters’ clerical requests.

Planning & Organizing

Researches policy / or policy or client procedures and other systems to resolve claims processing issues.

Positive Approach

Communicates with internal and external customers by phone, fax, and e-mail in a professional and courteous manner.

Applied Learning

• Puts new knowledge, understanding, or skill to practical use on the job; furthers learning through practice and ongoing feedback.
• Readily absorbs and comprehends new information and develops skills from formal and informal learning experiences.

Performs various projects requested or assigned by the employee’s reporting manager noted above.

CORPORATE CORE COMPETENCIES OF THE CLAIMS SERVICE REPRESENTATIVE

Effectively Communicates and Connects

• Communicates clearly and concisely.
• Prepares written communications that adhere to department standards.
• Attentively listens and asks clarifying questions.
• Builds positive relationships within the workplace.

Customer Focused

• Develops and maintains knowledge about the needs of customers and how the team provides value.
• Is aware of customer risks and when to escalate risks.
• Identifies and utilizes the appropriate resources to solve customer problems.
• Accelerates follow-up and action to resolve issues.

Talent Development Mindset

• Brainstorms ideas for technical and / or professional development.
• Works with supervisor to identify relevant development or shadowing opportunities including technical skill building and professional skill enhancement.
• Acts on opportunities to recognize colleagues for a job well done.

Demonstrates Adaptability

• Seeks to understand others' needs and perspectives especially those different from own.
• Open to learning about new and challenging ideas to drive the success of the work in which involved.
• Learns how to be flexible to accommodate deliverables and prioritize work effectively.

Demonstrates Accountability

• Takes ownership of mistakes and consults with others to resolve, learning from the experience.
• Consistently checks the accuracy of work.
• Provides coverage or assistance to others when needed.
• Proactively steps-up to provide guidance or assistance.

SPECIAL RELATIONSHIPS OF THE CLAIMS SERVICE REPRESENTATIVE

Direct contact with the Claims Service Office Managers, Team Leaders, and adjusters

Direct contact with various levels of Inservco personnel

QUALIFICATIONS FOR THE CLAIMS SERVICE REPRESENTATIVE

Education / Credentials

High School diploma or equivalent

Experience

Prior customer service experience preferred

Technical / Professional Knowledge

• Good interpersonal skills with the ability to interact in a professional and tactful manner
• Good communication skills both verbal and written
• Good Personal Computer skills with an emphasis on Microsoft Office Suite
• Strong keyboard, data entry, and typing skills required, along with the ability to perform various clerical duties
• Ability to perform standard business mathematics
• Must be able to multi-task and perform job responsibilities with the interruption of phone calls
• Must be able to work as a team member in a fast-paced environment
• Must be adaptable and able to quickly adapt to schedule changes

JOB REQUIREMENTS (as required by ADA Americans with Disabilities Act)

This position is primarily a sedentary position that requires occasional standing and walking throughout the office environment.

Must be able to see and effectively use a computer monitor.

Must be able to operate a computer, keyboard, and applicable printers and other general office equipment.

Must be able to access and enter information accurately using automated systems.

Must be able to hear and communicate via the telephone and / or monitoring devices to both internal and external clients.

Must be able to present information to individuals and groups.

Must be able to interpret and apply concepts that may or may not be based upon established guidelines.

Must be able to maintain acceptable attendance and adhere to scheduled work hours.