[Remote] Claims Specialist II

Note: The job is a remote job and is open to candidates in USA. Mercury Insurance is a company recognized for its achievements and positive culture. The Claims Specialist II will guide customers through the claims process, investigate and process claims for damages, and provide excellent customer service to ensure a positive experience for policyholders.

Responsibilities

• Review and explain coverage details and the claims process to customers
• Set reserves for anticipated expenses and arrange vehicle inspections and rental authorizations
• Address customer inquiries and concerns throughout the claim process to ensure satisfaction and retention
• Utilize various communication methods (phone calls, emails, texts, letters) to obtain information from involved parties, including witnesses
• Review law enforcement reports and seek out additional evidence (dash cam, surveillance video) to assess the facts of loss and determine liability
• Identify and escalate high-risk files with significant indemnity exposure or suspected fraud to supervisors for further review or investigation
• Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties
• Serve as the primary point of contact for customers, coordinating with other departments to ensure a smooth claims experience and complete customer satisfaction
• Collaborate with a team to address the needs of shared customers when necessary

Skills

• High school diploma or equivalent
• 6 months' customer service experience in a high-volume work environment or equivalent combination of education and experience
• Must be able to maintain a sedentary position for extended periods
• Must be able to communicate (electronically and telephonically) with team members, customers, and external parties
• Must be able to operate and type on a computer, laptop, and/or other Company-issued electronic device for extended periods of time
• Must be able to access and operate Company computer system, including preparing documents, entering data into computer system, and reading documents from a computer database or email system
• Must be able to bend, stoop, reach, climb, and/or stand to access files, documents, and other equipment
• Must be able to grasp, open, and close drawers, filing cabinets, and other equipment
• Bachelor's degree
• 6-12 months' claims adjusting experience
• Prior experience working in a remote environment

Benefits

• Competitive compensation
• Flexibility to work from anywhere in the United States for most positions
• Paid time off (vacation time, sick time, paid Company holidays, volunteer hours)
• Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
• Medical, dental, vision, life, and pet insurance
• 401 (k) retirement savings plan with company match
• Engaging work environment
• Promotional opportunities
• Education assistance
• Professional and personal development opportunities
• Company recognition program
• Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more.

Company Overview

Company H1B Sponsorship