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Claim Rep Trainee

The Claim Representative Trainee reports directly to the Manager of Claims Quality & Training. This position is responsible for first learning the proper philosophy and methodology for claims investigation, adjustment and successful resolution and then applying those principles to independently handle first party auto and property claims and auto third party claims in accordance with company standards. The Trainee will be required to demonstrate progressive development in the training process. This process includes, but is not limited to, assigned courses of study, seminars and on-the-job instruction. Proper application of training to work product is mandatory. Completion of training program is required to attain Claim Representative position.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
 
Communicate and work effectively with team members to insure that the level of service provided to customers meets or exceeds their expectations.
 
Analyze first notice of loss to determine nature of loss, coverage provided and scope of damages.
 
Conduct investigation of all aspects of reported claims. Secure and/or file all supporting documentation and verify it for accuracy, relationship and completeness.
 
Establish accurate and timely reserves.
 
Seek technical assistance in handling claims outside delegated authority.
 
Maintain an active diary and monitor it to achieve timely development of file and timely disposition of claim.
 
Promptly and properly document all developments in file.
 
Exercise good judgment in reaching final disposition of claim by evaluation of the nature of loss, coverage provided and applicable limits, liability and damage.
 
Effectively negotiate settlements when appropriate.
 
Recognize and pursue subrogation when applicable.
 
Adhere to all statutory regulations and unfair claims practices acts.
 
Manager or Assistant Vice President may assign other duties as deemed necessary.
 
Successfully complete training program.
 
SUPERVISORY RESPONSIBILITIES
 
None
 
QUALIFICATIONS
 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
EDUCATION and/or EXPERIENCE
 
College degree or equivalent experience
Excellent verbal and written communication skills
Strong interpersonal skills
Superior organizational skills
Efficient time management skills
Proven negotiation skills
 
 LANGUAGE SKILLS
 
Excellent verbal and written communication skills. The individual must be able to effectively and clearly communicate with agents, insureds, departmental and Company personnel via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a professional manner.
 
REASONING ABILITY
 
The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.
 
CERTIFICATES, LICENSES, REGISTRATIONS
 
AINS, AIC, CIC, CRM or CPCU considered, but not required.
 
PHYSICAL DEMANDS
 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
Employees are required to sit at a workstation to perform various PC functions. Additionally, the employee is required to devote substantial time to telephone communication.
 
While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms.
 
Employees may be required to travel from time to time. This may require extended periods of time sitting in a vehicle.
 
WORK ENVIRONMENT
 
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
The Claim Representative Trainee is responsible for the proper handling of claims. Each Claim Representative Trainee will be assigned a specific work cubicle station and/or other individual work areas. The workstation will be located adjacent to other similar workstations. The workstation has the necessary equipment to perform the position duties including personal computer, telephone, file space, and needed work table space.
 
The environment is reasonably quiet with needed interaction between other team members, Manager, and other company staff. Moderate noise level from telephone calls is expected.