Acuity Insurance Logo

Acuity Insurance

Claims Representative

Reposted 14 Days Ago
In-Office or Remote
Hiring Remotely in United States
70K-70K Annually
Entry level
In-Office or Remote
Hiring Remotely in United States
70K-70K Annually
Entry level
Investigate, evaluate, and resolve property, auto, and general liability claims. Responsibilities include determining coverage, assessing liability and damages, forecasting reserves, interviewing involved parties, documenting claim files, identifying potential fraud, managing vendors and litigation files, negotiating settlements, and delivering quality customer service. The role includes mandatory training, occasional storm claims duty, and up to 12 weeks of on-site training during the first year.
The summary above was generated by AI

Acuity is seeking a class of entry-level Claims Representatives to start in January 2027. Claims Reps investigate claims to determine specifics surrounding a property, auto or general liability claim. This includes phone contact with involved parties, as well as obtaining information via phone, fax and e-mail from agents, doctors, attorneys and other external parties involved in the claim. The claims investigation and evaluation process includes determining coverage under the insurance policy, evaluating liability, assessing damages, and forecasting reserves, while providing the best in class customer service.

To learn more from our employees about what it's like to work in Claims at Acuity, click here! 

Internal Deadline to Apply: Wednesday, September 30th

ESSENTIAL FUNCTIONS:

  • Proactively investigate, evaluate and resolve assigned multi-line property and liability claims within multiple state venues.
  • Make timely and meaningful initial contact with parties involved in the claim, particularly claimants and insureds.
  • Accurately evaluate policy coverage by applying claim facts to the policy contract terms.
  • Consistently forecast reserves, by setting reserve initially with proper reserve coding and monitoring reserve adequacy throughout the course of the claim, consistent with Acuity’s reserve philosophy.
  • Thoroughly investigate assigned claims by conducting phone interviews, obtaining recorded statements, securing photos, and obtaining written reports and/or documents.
  • Maintain a personal follow-up task on all claim files to assure timely, proactive handling, efficient claim file organization, quality customer service, and proper management of pending claims.
  • Accurate and thorough claim file documentation, to consist of timely entry of activity log entries, claims system screen updates, and imaged documentation.
  • Identify potentially fraudulent claims and promptly refer suspect claims to the Special Investigations Unit (SIU).
  • Participate in internal claims phone queue as assigned.
  • Employ and manage outside vendor resources in a cost effective manner.
  • Utilize sound judgment and discretion with settlement authority to properly and effectively resolve claims through negotiation, settlement or denial.
  • Successfully manage litigation files according to company guidelines.
  • Periodically participate in off-hours storm claims duty as dictated by storm claims volume.
  • Maintain a positive, professional attitude.
  • Engage in claims educational opportunities, both in-house and external, as sponsored by management.
  • Always represent Acuity in a professional manner.
  • Complete a mandatory training program as determined by Acuity.
  • Regular and predictable attendance.
  • Perform other duties as assigned.

EDUCATION:

College degree or equivalent relevant experience.

EXPERIENCE:

Customer service or insurance experience preferred.

Training Requirement:

Selected candidates will be required to participate in on-site training up to 12 weeks within their first year. All expenses related to this training, including travel and accommodations will be fully covered by Acuity.

OTHER QUALIFICATIONS:

  • Excellent written and verbal communication skills.
  • Proven organizational and time management skills.
  • Proficient in current computer technology.
  • Ability and willingness to provide quality customer service.
  • Strong analytical and creative problem solving abilities.
  • Ability to work both independently and in collaboration with others.
  • Being bilingual in Spanish is preferred, but not required.   

*Acuity does not sponsor applicants for U.S. work authorization.*

This job is classified as exempt.

The salary range for this position is $70,000 annually. This salary range is an estimate, and the actual salary will vary based on applicant’s education, experience, knowledge, skills, and abilities.

For this role, Acuity offers a comprehensive benefits package, including a generous 401(k) contribution, medical, dental, vision, life and disability insurance, paid time off, an Employee Assistance Program, and more. A full description of benefits and eligibility will be provided to candidates during the hiring process. 

We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. 

Acuity will include at least one in-person interview during the hiring process for all positions. 

If you have a disability and require reasonable accommodations to apply or during the interview process, including for in-person interviews, please contact our Talent Acquisition team at [email protected]. Acuity is dedicated to offering reasonable accommodations during our recruitment process for qualified individuals.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Similar Jobs

10 Days Ago
Remote or Hybrid
46K-84K Annually
Senior level
46K-84K Annually
Senior level
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Investigates and processes commercial insurance claims, determines coverage, estimates damages, sets reserves, negotiates settlements, documents claim files, and identifies potential fraud or subrogation. The role requires customer and claimant communication, policy analysis, claims evaluation, and coordination with appraisal, subrogation, and investigative teams.
10 Days Ago
Remote or Hybrid
46K-84K Annually
Senior level
46K-84K Annually
Senior level
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Investigates and processes commercial insurance claims within assigned authority limits. Responsibilities include determining coverage, assessing damages, setting reserves, negotiating settlements, preparing or reviewing estimates, documenting claim files, communicating with insured parties and agents, and identifying potential fraud or subrogation. The role requires strong organization, communication, customer service, technology, and claims-handling capabilities, along with potential multi-state licensing.
Yesterday
In-Office or Remote
New York, NY, USA
25-25 Hourly
Junior
25-25 Hourly
Junior
Consumer Web • Healthtech • Mobile • Social Impact • Telehealth
Processes electronic healthcare claims and invoices, maintains accurate billing records, supports efficient reimbursement, resolves billing issues with internal teams, and ensures compliance with applicable laws and policies. The role also requires effective team communication and proficiency with billing software and Microsoft Excel. Healthcare billing, claims processing, medical billing codes, and provider or insurance experience are preferred.
Top Skills: Billing SoftwareElectronic Claims Processing SoftwareExcelMS Office

What you need to know about the NYC Tech Scene

As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.

Key Facts About NYC Tech

  • Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
  • Key Industries: Artificial intelligence, Fintech
  • Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
  • Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account