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Job Description
Job Summary
Participates in training program to learn basic policies, practices, procedures, and strategies needed to become a Claims Representative. Trains to handle low to moderately complex claims promptly, proactively, and with a sense of urgency. Performs work under the guidance and supervision of a trainer. Trainee is required to pass an exam at certain phases of the training program. Trainees who successfully complete this training program may be placed into a Claims Representative role of equivalent salary grade.
Essential Job Functions
- In a supervised learning environment, trains to adjust low to moderately complex claims.
- Learns skills such as conducting thorough i nvestigations, establishing damages, determining liability, negotiating settlements, making claim payments, confirming policy coverage, and explaining claim determination to parties incident to the claim. Works in electronic claim files to handle assigned claims within designated authority.
- Learns to manage diaries, update claim files and move them to closure according to established procedures and job aids provided for training purposes. Trains to inspect vehicles and property to assess claim related damage.
- Learns to estimate repair or replacement costs. Learns to determine and report on subrogation potential. Reports theft, fraud, and arson losses as required by state and industry regulations.
- Trains to interact professionally and courteously with stakeholders including policyholders, claimants, agents, witnesses, repair fa cilities, contractors, police and fire departments, state and country fraud and arson specialists, special investigators, attorneys, medical professionals and other persons incident to the investigation and processing of claims. Acts as a representative of the company. Seeks to grow job knowledge and incorporates new information into daily tasks. Performs other duties as assigned.
Physical Actions
This role, whether performed virtually or in an office setting, will include normal and customary distractions, noise, and interruptions. Sits or stands for extended periods of time, up to a full work shift. Occasionally reaches overhead and below the knees, including bending, twisting, pulling, and stooping. Occasionally moves, lifts, carries, and places objects and supplies weighing 0-10 pounds without assistance. Listens to, interprets, and differentiates auditory information (example others speaking) at normal speaking levels with or without correction. Visually verifies and reads information. Visually locates material, resources and other objects. Ability to continuously operate a computer for extended periods of time, up to a full work shift. Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate keyboard and other office equipment up to a full work shift.
Physical Environment
Education Requirements
High School Diploma or equivalent required. Bachelors degree preferred. Other: Must obtain adjusters license in states where required.
Experience Requirements
Some experience in insurance or a related field preferred. Claims experience preferred.