Claims Trainee

About the Role

• Individual contributor position working under close supervision and within defined authority limits.
• Handles and resolves low complexity commercial claims for a specific line of business.
• Requires regular communication with customers and insureds.
• Offers hands-on experience in quality improvement.

Key Responsibilities

• Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims.
• Completes a formal training program and follows company protocols to verify policy coverage, gather information, maintain file documentation, and authorize disbursements within authority limits.
• Develops ability to contribute to customer satisfaction by interacting professionally and effectively with insureds, claimants, and business partners.
• Achieves quality and cycle time standards, provides regular, timely updates, and responds promptly to inquiries and requests for information.
• Learns to verify coverage and establish timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, and following company's claim handling protocols.
• Develops ability to determine liability and compensability by conducting investigations, gathering pertinent information, taking statements from insureds and witnesses, and working with experts to verify claim facts.
• Learns to work with appropriate internal and external partners, suppliers, and experts by identifying and collaborating with necessary resources.
• Authorizes claim disbursements within authority limit with manager approval by determining liability and compensability, negotiating settlements, and escalating to manager as appropriate.
• Develops ability to meet or exceed quality standards on every file by following company guidelines, achieving quality and cycle time targets, ensuring proper documentation, and issuing appropriate claim disbursements.
• Learns to identify and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating claim facts and making referrals to appropriate Claim, Recovery, or SIU resources.

Requirements & Tech Stack

• Microsoft Office Suite knowledge.
• Ability to learn business-related software.

Qualifications

• Strong desire to develop a wide breadth of knowledge and understanding of the commercial insurance industry, products, and claims practices.
• Good verbal and written communication skills with the ability to demonstrate empathy while providing exceptional customer service.
• Ability to develop collaborative business relationships with both internal and external partners.
• Analytical mindset with critical thinking skills.
• Strong work ethic, with demonstrated time management and organizational skills.
• Ability to work in a fast-paced, collaborative environment at high levels of productivity.
• Ability to manage multiple priorities and adapt to a changing environment.
• Bachelor's degree preferred.
• Ability to obtain and maintain an Insurance Adjuster License, where applicable.
• Compensation: $35,000–$65,000 per year.
• Position Highlights: Typically, Supervisor or above.