Claim Representative Trainee

8 hours ago

Macomb, Illinois, United States VetJobs Full time
Job Title: Claim Representative Trainee

At VetJobs, we are seeking a highly motivated and detail-oriented Claim Representative Trainee to join our team. As a Claim Representative Trainee, you will be responsible for investigating, evaluating, and resolving claims on losses of lesser value and complexity.

Key Responsibilities:
  • Completes required training to develop skills for investigating, evaluating, and resolving claims.
  • Handles 1st party property claims of moderate severity and complexity as assigned.
  • Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer-assisted estimates.
  • Investigates and evaluates all relevant facts to determine coverage, damages, business interruption calculations, and liability of first-party property claims under various policies.
  • Secures recorded or written statements as appropriate.
  • Establishes timely and accurate claim and expense reserves.
  • Determines appropriate settlement amount based on independent judgment, computer-assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles, and work product of Independent Adjusters.
  • Negotiates and conveys claim settlements within authority limits.
  • Writes denial letters, Reservation of Rights, and other complex correspondence.
  • Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
  • Meets all quality standards and expectations in accordance with the Knowledge Guides.
  • Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
  • Manages file inventory to ensure timely resolution of cases.
  • Handles files in compliance with state regulations, where applicable.
  • Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers/business partners.
  • Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
  • Identifies and refers claims with Major Case Unit exposure to the manager.
  • Performs administrative functions such as expense accounts, time off reporting, etc. as required.
  • Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability, and other areas of the business as needed.
  • May attend depositions, mediations, arbitrations, pre-trials, trials, and all other legal proceedings, as needed.
Requirements:
  • Bachelor's Degree preferred or a minimum of two years of work or customer service-related experience preferred.
  • Demonstrated ownership attitude and customer-centric response to all assigned tasks.
  • Verbal and written communication skills.
  • Attention to detail ensuring accuracy.
  • Ability to work in a high-volume, fast-paced environment managing multiple priorities.
  • Analytical Thinking.
  • Judgment/Decision Making.
  • Valid passport preferred.
What We Offer:

At VetJobs, we offer a comprehensive compensation and benefits program, including performance-based cash incentive awards. We are committed to providing a culture that is rooted in innovation and thrives on collaboration.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.

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