Claims Trainee

About the Role

• This claims trainee offers participants hands-on experience in quality improvement.
• This is an individual contributor position that works under close supervision.
• Handles and resolves low complexity commercial claims for a specific line of business.
• Requires regular communication with customers and insureds.

Key Responsibilities

• Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims.
• Verifies policy coverage, gathers necessary information, maintains appropriate file documentation, and authorizes disbursements within authority limits.
• Interacts professionally and effectively with insureds, claimants, and business partners to achieve quality and cycle time standards.
• Provides regular, timely updates and responds promptly to inquiries and requests for information.
• Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, and following company's claim handling protocols.
• Determines liability and compensability by conducting investigations, taking statements from insureds and witnesses, and working with experts to verify claim facts.
• Works with appropriate internal and external partners, suppliers, and experts to facilitate best claim outcomes.
• Authorizes claim disbursements within authority limit with manager approval by determining liability and compensability, negotiating settlements, and escalating to manager as appropriate.
• Meets or exceeds quality standards on every file by following company guidelines, achieving quality and cycle time targets, ensuring proper documentation, and issuing appropriate claim disbursements.
• Identifies 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
• 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.