Claim Representative Trainee (PIP)

Claim Representative Trainee (PIP) – The Auto Club Group

The PIP Claims Representative Trainee, under supervision of a designated job coach and/or Claim Manager, is required to successfully complete the company's Claims training program within 12 months.

The trainee will be required to learn the fundamentals of insurance claims processing, from initial submission to settlement.

The trainee must attend and focus on developing analytical, communication, and customer service skills to assist in assessing and documenting claims accurately.

Through claims training and hands-on experience, the trainee will become proficient in understanding insurance policy, evaluating coverage, conducting investigations, and delivering quality service to become a Claims Representative.

What Will You Do:

• Assist in processing and filing routine claims.
• Learn and properly apply the fundamentals of claims policies and procedures.
• Gather necessary documentation for claim evaluation.
• Communicate effectively with policyholders, beneficiaries, and service providers.
• Process various types of claims, including payment approvals.
• Review and analyze claim details to determine coverage, liability, and possible fraud and/or subrogation.
• Process a claim diary and manage claim backlog.
• Investigate problems or unfinished files and complete files as needed. Refer files as appropriate.
• Learn to review the status of open and closed reserves and make changes consistent with exposure.
• Document claims information accurately, maintain organized records and perform claim support activity when needed.

Supervisory Responsibilities (briefly describe, if applicable, or indicate None):

• None

Work Environment

This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.

How You Will Benefit:

• A competitive hourly salary of $21.88 to 26.00 with annual bonus potential based on performance
• ACG offers excellent and comprehensive benefits packages, including:
• Medical, dental and vision benefits
• 401k Match
• Paid parental leave and adoption assistance
• Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
• Paid volunteer day annually
• Tuition assistance program, professional certification reimbursement program and other professional development opportunities
• AAA Membership
• Discounts, perks, rewards, and much more

We're Looking For Candidates Who:

Required Qualifications (these are the minimum requirements to qualify):

Education:

• High School Diploma or equivalent
• In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.
• A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members

Knowledge and Skills:

• Knowledge of: Telephone etiquette
• Basic math calculations to include addition, subtraction, multiplication, division, and percentages
• Computer application knowledge

Skills and Ability To:

• Learn, follow, adapt to and apply ACG Claim policies, procedures and guidelines
• Accurately document through data entry to ensure proper claims processing
• Acquire the skills to operate the assigned ACG Claim systems
• Efficiently communicate through both writing and speaking with policyholders and colleagues in the workplace
• Demonstrate customer service skills by showing empathy to enhance the customer experience.
• Collect, analyze, interpret data, and solve problems while demonstrating strong decision-making skills with colleagues.
• Demonstrate basic PC software skills (Microsoft applications.)
• Prioritize to claim-related tasks, manage time effectively, organize tasks, and plan with efficiency.
• Perform basic mathematical calculations.
• Understand basic construction methods and applications.

Ability To:

• Analyze claim-related data with high proficiency

Preferred Qualifications:

Education:

• Associate's degree in Business Administration, Insurance, or a related field and/or equivalent coursework and experience
• IIA or CPCU coursework or designation
• Bachelor's degree in Business Administration, Insurance or a related field

Experience:

• Working in a claims or similar customer service environment
• Dealing with claims, including administrative support tasks
• Preparing repair estimates or appraisals
• Working independently in a virtual environment

Knowledge and Skills:

• Claims operations and handling procedures
• Claims terminology and processing systems
• Insurance policy provision
• Bi-lingual (Spanish and/or Arabic) language skills
• Basic understanding of construction and building terminology

Knowledge of:

• Medical terminology
• Telephone etiquette
• Basic math calculations to include addition, subtraction, multiplication, division, and percentage