Vermont Mutual Insurance Group · 1 day ago
Senior Claim Representative - Auto
Montpelier, VT, US
Full-time
Onsite
Senior Level
$65K/yr - $85K/yr
5+ years expVermont Mutual Insurance Group is seeking a Senior Claim Representative to handle a diverse claims caseload with a focus on moderate to high complexity claims. This role involves conducting investigations, negotiating settlements, and ensuring compliance with claim handling guidelines.
Financial ServicesInsurance
Responsibilities
Conduct and coordinate loss investigations on all assigned claims
Negotiate the settlement of claims within authorized amounts or specific file authority
Maintain accountability for all assigned claims until disposition is reached
Recommend further action on claims exceeding authority limits
Document all activity on assigned claims and assist in the control of independent vendors
Review new losses and files on diary to ensure reserve adequacy while keeping management informed of adverse developments
Monitor loss adjustment expenses and take steps to effectively manage costs of third party service providers
Utilize vendors judiciously to ensure maximum value from services
Review coverage questions and suggest interpretations to Claim Staff Supervisor for approval
Refer appropriate coverage matters to the Claim Supervisor and/or Claim Manager
Ensure appropriate file handling, documentation, special reporting and expense control of all files handled
Provide accurate, courteous and timely information to all eligible external and internal customers concerning claim status and other claim inquiries
Presents reports and leads discussion on files requiring roundtable reviews with peers and management
Provide service calls to policyholders and agencies as needed
Serve as a technical resource within the Department through mentoring and knowledge sharing
Draft coverage correspondence, including reservation of rights and coverage disclaimer along with composing detailed correspondence to insureds, claimants, attorneys, etc
Attend trials, depositions, EUO’s and mediations where deemed beneficial or required by jurisdiction
Suggest improvements to processes within the department to increase the level and quality of service provided to internal and external customers, e.g. workflow changes, systems implementation, etc
Effectively follow direction on complicated or high-exposure matters and recommend appropriate reserves on claim files within specific authority and on files requiring mandatory reporting to management
Deliver technical training for adjusting staff and clerical personnel as needed
This position handles an assigned claim pending
Performs other duties or special projects as required or as assigned
Qualification
Required
Bachelor's degree in business, insurance or a related field, or its equivalent
Five or more years of relevant technical claim handling experience with demonstrated achievement and progressive responsibilities; or a combination of education and experience from which comparable knowledge and skills are acquired
Appropriate state Adjuster's License(s) where required by law
For field based positions, previous outside experience is preferred and valid driver's license is required
Advanced knowledge of the technical aspects of property and/or casualty claims (including automobile, general liability, subrogation and litigation)
Demonstrated commitment to professional development through the attainment of recognized industry designations such as AIC, AEI, SCLA, CPCU programs, etc
Fully developed skills in specialized technical disciplines; including extensive knowledge of relevant contract and tort law
Sound understanding of the insurance industry and company operations
Strong analytical and negotiating skills
Very good oral and written communication skills
Demonstrated ability to exercise sound judgment in dealing with professional issues
Demonstrated ability to work effectively with a wide range of outside firms and organizations
Demonstrated ability to collaborate effectively with company management, peers and claim support staff
Proficiency with PC applications including Microsoft Office (Word, Excel & Outlook); Experience with imaging programs preferred
Ability to perform job responsibilities under stressful situations
Preferred
For field based positions, previous outside experience is preferred and valid driver's license is required
Experience with imaging programs preferred
Company
Vermont Mutual Insurance Group
Vermont Mutual Insurance Group is an insurance company that offers inland marine, personal, and commercial insurance products.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dan Bridge
President, CEO and Board Chair
Sam Hopkins
VP & Chief Information Officer
Recent News
2025-07-10
2025-04-22
2025-04-17
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