Claims Representative

Title:

Auto/Multi Line Claims Representative

Reports To:

Claims Manager

Location:

East Lansing, MI

Department:
Property/Casualty & Workers’ Compensation

SET SEG is looking for a Claims Representative that will be responsible for the end-to-end handling of assigned auto physical damage claims, property damage claims and additional exposure to other lines based on business needs. This role serves as a primary point of contact for members and plays a key role in delivering high-quality customer service through timely communication, sound judgement, and consistent adherence to organization standards.

This position requires the ability to balance efficiency with accuracy while maintaining detailed documentation and compliance with applicable laws, regulations, and internal claims handling guidelines.

School Employers Trust (SET) is a non-profit company that was created after a monumental shift in school funding happened in 1965. SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees. Two years later, its partner organization School Employers Group (SEG) was formed to administer compensation and fringe benefits for SET.

As schools were faced with more challenges related to insurance, SEG evolved and grown into a company that provides workers’ compensation and property/casualty services for Michigan public schools.

Today, SET SEG continues to expandand find creative ways to meet the specialized needs of its members. This, coupled with superior member experience, is why SET SEG has maintained its position as an industry leader in the school insurance market.

We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave.

Our passion is delivering peace of mind to Michigan public schools, and we look for team members who are motivated by our cause. To learn more, visit: (Use the "Apply for this Job" box below)..

You are energized by working with a collaborative team and industry peers to support Michigan public schools through their challenges. You seek understanding and are motivated to tackle projects and problems with the customer in mind. You anticipate needs and preempt challenges and concerns, delivering increasingly relevant customer experiences over time. You value a culture that is rooted in mutual respect, where you can learn from different perspectives and roles.

• Investigate, evaluate and process assigned auto physical damage and small property damage claims.
• Serve as a primary point of contact to members via phone, email, fax and written correspondence regarding claim requests, status updates, and coverage explanations.
• Provide high-quality customer service in a fast-paced environment.
• Manage a high-volume claim workload, prioritizing tasks to meet service expectations, regulatory requirements, and organizational standards.
• Maintain accurate, timely, and well‑organized documentation within the claims management system while managing multiple active claims concurrently.
• Negotiate claims within established settlement authority and promptly notify leadership of any claim trending toward or exceeding authority limits.
• Assign and coordinate vendors for claim-related activities and manage incoming vendor reports.
• Ensure claims are handled in compliance with applicable laws, regulations, and internal claims handling standards, with an emphasis on quality and consistency.
• Monitor and coordinate work performed…