Rep Claims I

J  o  b    D  e  s  c  r  i  p  t  i  o  n

Job Profile Title:

Rep Claims I

Job Code:

10768

Profile Title:

10768 Rep Claims I

Grade / Band:

08

FLSA Status:

Non-Exempt

The Claims Representative I position is an entry-level Claims Adjustor position that will allow for growth and development into the claims and risk management organization at MGM Resorts.  The role of a Claims Representative I is to investigate, evaluate, negotiate and resolve guest claims that are low to medium in severity, under supervision.  This will include intake and investigation of claims involving valet, auto liability, personal property loss or damage, and low severity bodily injury.  The goal of a Claims Representative I is to lead customers through the claims process with empathy and an eye toward early resolution.

Daily intake and review of claims by gathering and investigating information, statements, and other supporting evidence.

Review evidence and provide an evaluation of liability, damages, and recommended reserves to management. Negotiate and resolve claims.

Uphold MGM Risk Management guest experiences standards by communicating with the guests in an expeditious manner. Guide the guest through the claims process and stay engaged with the guest through resolution of the matter.

Investigate and assess valet claims, auto-liability claims, personal property damage / loss claims, and low severity bodily injury claims.  Review and analysis of witness statements, photos, videos, estimates, medical records (if applicable), and other supporting materials in order to set reserves and obtain settlement authority from management.

Maintain appropriate and sufficient reserves in recognition of potential financial exposure of claim. Post accurate and timely claim payments in database.  Process payments and ensure financial integrity if each claim that is assigned.

Assist Claims Representatives II's and Sr. Claims Analysts in their administration of higher severity claims, as needed.

Provide clear, timely verbal and/or composed written communication to all relevant parties

Negotiate and resolve claims in a fair and equitable manner, within designated authority level, in compliance with company’s settlement practices, policies and procedures and conferring with management for any recommended settlement outside authority level.

Performs other job-related duties as requested

Proof of eligibility to work in the United States

High School Diploma or GED

Required

Associate's Degree

Preferred

3+ Years of Prior Relevant Experience

in a customer service, security, or investigation role.

Required

1+ Years of Prior Relevant Experience

in Claims Adjusting or Legal setting

Preferred

Working knowledge and ability in active listening and critical thinking, diplomacy and problem-solving skills.

Working knowledge of the principles of property casualty insurance policies.

Strong reading, written comprehension as well as writing skills.

Strong negotiation skills to reconcile differences and bring resolve to claims in an expeditious and cost-effective manner.

Proficient knowledge, ability and skills in claims database systems, varied computer systems and applications including but not limited to Microsoft Windows – Outlook, Word, and Excel.

Excellent organizational skills to function effectively under time constraints and within established deadlines, with particular attention to detail.

Excellent customer service skills and interpersonal skills to effectively communicate with all business contacts.

Balancing

X

Bending

X

Carrying 10 pounds

X

Clear speech - simple

X

Clear speech - complex

X

Climbing

X

Distant vision

X

Driving

X

Flexibility - upper body

X

Flexibility - lower body

X

Hearing/Listening

X

Kneeling

X

Lifting 10 pounds

X

Near vision

X

Normal vision

X

Pushing/Pulling

X

Reaching

X

Sitting

X

Standing

X

Typing

X

Walking

X

Communication - verbal

X

Communication - written

X

Confined area

X

Contacts - works alone

X

Contacts - works around others

X

Contacts - works with others

X

Exposure to dust / dirt

X

Exposure to fumes / odors

X

Extreme cold

X

Extreme heat

X

Fast pace

X

Hazardous conditions - chemicals

X

Hazardous conditions - high structures

X

Hazardous conditions - high voltage

X

Indoors

X

Noise levels - low to moderate

X

Noise levels - high

X

Office conditions

X

Outdoors

X

Restricted area

X

Shifts

X

Smoke

X

Travel

X

Wet/Humid

X

Analytical

X

Clerical

X

Comprehension

X

Crisis incidents

X

Customer service

X

Decision making

X

High pressure

X

Judgment

X

Long hours

X

Math skills - advance

X

Math skills - basic

X

Organization

X

Reading - simple

X

Reading - complex

X

Repetition

X

Tight deadlines

X

Writing - simple

X

Writing - complex

X