Claims Representative 2 - PIP/MP

At COUNTRY Financial, our PIP/MPClaims Representative provides a consistent, positive, and satisfying claims experience for our clients by delivering superior claims service. Investigates moderate to complex PIP and MP claims from various states within prescribed limits by determining applicable policy coverage, cause of loss, evaluating damages and injuries. Obtains and analyzes a wide variety of documentation related to the claim (i.e., accident reports, ISO reports, medical records, police reports, photos/estimates, statements, etc.) and draws the proper conclusion related to claim investigation.
This position offers a hybrid work schedule and can be based out of our corporate office in Bloomington, IL or Minneapolis, MN.
How does a PIP/MPClaims Representative make an impact?

• Investigates PIP and MP claims from various states within prescribed limits by determining applicable policy coverage, cause of loss, evaluating damages and injuries. Obtains and analyzes a wide variety of documentation related to the claim (i.e., accident reports, ISO reports, medical records, police reports, photos/estimates, statements, etc.) and draws the proper conclusion related to claim investigation. Claims will include coverage issues, lengthy medical treatment, Wage Loss, Loss of Service or Replacement Services, Survivors benefits and SIU issues where problems may exist or can reasonably be expected.
• Initiates first contact with insured's, claimants and all relevant parties to gather information related to the accident facts, injury status including past medical history and providers, available insurance, obtains recorded statements (when necessary), and explains the overall claims process.
• Communicates and negotiates with a variety of individuals regarding investigation and settlement of claims. This includes insured's, claimants, attorneys, insurance carriers, SIU, medical providers, and other involved parties.
• Identifies, investigates and documents potential subrogation, indemnity and contribution claims, or UM/UIM exposures, making referrals as necessary, consistent with company guidelines and procedures.
• Identifies and coordinates independent medical review, within prescribed authority, based upon the facts of a particular file.

Do you have what we're looking for?

• Strong communication and problem-solving skills.
• Demonstrates strong relationship building skills, initiative, and work prioritization and organizational skills.
• Knowledge of property/casualty claims operations and experience working with claims reporting systems.
• Typically requires 4 years of relevant experience or a combination of related experience, education and training.

Why work with us?
Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business.
You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match, parental leave, paid time off, paid company holidays and time off to volunteer in your community. Please click here to learn more about who we are and the many benefits we offer our employees.
COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations.
Come join our team at COUNTRY today!
COUNTRY Financial does not generally sponsor individuals for employment-based visas for this position.