Insurance Claims Service Liason |
Location: MOFB Home Office | Address: Jefferson City, MO | Company: MOFB Services | Organization: Claims Mgt Unit | Requisition ID: 2025-071 | Job Type: Full-Time | Posting Date: 07/02/2025 |
**Job Summary:**
The position involves planning and implementing consumer service processes, addressing and resolving consumer complaints, and acting as a liaison with government officials regarding claims. Responsibilities include investigating complex insurance claims, analyzing coverage, negotiating settlements, and participating in legal proceedings as needed.
**Essential Duties:**
- Support the Director of Claims and Claims Supervisors in resolving sensitive complaints.
- Investigate consumer inquiries and complaints from various entities regarding claims.
- Liaise with third-party administrators and prepare monthly reports on consumer inquiries.
- Analyze consumer trends and provide insights to the Claims Director.
- Train new claims personnel and document investigations clearly.
- Evaluate claims coverage and maintain case reserves.
- Collaborate with other departments on overlapping complaints.
- Lead training and research for personal property pricing.
- Assess damage values and adjudicate claims or seek additional authority as necessary.
- Assist with storm losses and other special projects.
- Provide excellent customer service and maintain strong relationships with stakeholders.
**Education and Experience:**
- **Insurance Claims Service Liaison:** Bachelor’s Degree in a related field or equivalent experience. Two years of direct insurance claims handling experience and resolution of consumer concerns.
- **Senior Insurance Claims Service Liaison:** Bachelor’s Degree or equivalent experience, with six years handling complex complaints and claims, plus an Associate in Claims (AIC) designation (or eight years of experience in lieu of AIC).
**Qualifications:**
- Strong knowledge of insurance practices, state laws, and complaint procedures.
- Ability to negotiate settlements and explain policies.
- Effective communication and organizational skills.
**Physical Demands:**
The role requires frequent sitting, standing, and walking, with the ability to lift up to 30 pounds occasionally.
**Work Environment:**
The work environment is typically moderate in noise, with potential for increased noise during busy periods. Reasonable accommodations are available for individuals with disabilities.