Claims Trainee

About the Role

This claims trainee position offers participants hands-on experience in quality improvement. After successful completion of a formal training program, this individual contributor role works under close supervision to handle and resolve low complexity commercial claims for a specific line of business. The position requires regular communication with customers and insureds.

Job Responsibilities

• Develop a working knowledge of commercial insurance and learn to manage an inventory of low complexity claims by completing a formal training program and following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation, and authorize disbursements within authority limits.
• Develop the ability to contribute to customer satisfaction by interacting professionally and effectively with insureds, claimants, and business partners, achieving quality and cycle time standards, providing regular, timely updates, and responding promptly to inquiries and requests for information.
• Learn 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.
• Develop the ability to determine liability and compensability by conducting investigations to gather pertinent information, taking statements from insureds and witnesses, and working with experts to verify claim facts.
• Learn to work with appropriate internal and external partners, suppliers, and experts by identifying and effectively collaborating with necessary resources to facilitate best claim outcomes.
• With manager approval, authorize claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements, and escalating to manager as appropriate.
• Develop the ability to meet or exceed quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation, and issuing appropriate claim disbursements.
• Learn to identify and address subrogation/salvage opportunities or potential fraud occurrences by evaluating claim facts and making referrals to appropriate Claim, Recovery, or SIU resources for further investigation.

Qualifications & Tech Stack

• 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.
• Knowledge of Microsoft Office Suite and ability to learn business-related software.
• 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.