Claims Analyst Trainee

Claims Analyst Trainee**This is an on-site position located in Roslyn, NY or Rochester, NY**General Summary: A Claims Analyst Trainee will join an entry-level program that provides structured training and hands-on experience to prepare participants to review, investigate, and process insurance claims. Trainees learn claims procedures, systems, and regulations while developing analytical and decision-making skills under supervisionImportant Note: The Claims Analyst Trainee role is a temporary-to-hire employment opportunity. During the three-month trial period, skills, performance, and compatibility with the organization will be evaluated. If both parties find the role suitable after this period, an offer may be extended for regular full-time employment.Essential Duties & Responsibilities:Accept incoming calls and assist Insured (s) who are calling about a claim, incident or summons.Obtain all pertinent information from Insured (s) regarding the service of legal papers and medical data involvedEstablish/maintain a claim file when appropriate for reported claims to include but not limited to; verify coverage before opening new file, obtain legal papers and/or medical records appropriate to claim, assign defense counsel,When appropriate send necessary documentation, prepare reinsurance report when appropriate and complete all necessary forms and documents neatly, legibly and thoroughlyMaintain a diary for assigned files for follow upComplete all processes/procedures as outlined by the Claims Department in support of claims handlingReport accurately and appropriately in compliance with all State and Federal requirements (medical coding and statuary requirements)Review and analyze all monthly legal bills from assigned law firms, both hard copy and electronic, for compliance with Claims Department policy for the legal handling of claim files and legal billing guidelinesEnsure that all hard copies from law firms are received and obtain any missing information from law firms, if necessaryMaintain department standard turnaround time for processing invoicesPrepare electronic check requisition for accountingCollaborate with Claims Analyst / Management on the review of legal and vendor invoices received from defense counselConduct billing audit within specified time frames to maintain timely payment of vendor feesParticipate in claims conferences, mentoring meetings and trial observationsAssigned projects (either individual or on a team) and complete projects by deadlines providedAbility to maintain high degree of confidentiality especially regarding information in filesAdhere to timeline of training development program as outlined and approved by Claims DepartmentAll other duties deemed appropriate by managementEducation & Qualifications:College graduate or progression toward a degree with related work experience in the following areas: Medical, Legal or Insurance field.Demonstrate proficient knowledge of Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)Demonstrate ability to quickly learn and adapt to new software programsExcellent verbal skills with the ability to convey information clearly and professionally in a business settingAbility to maintain a cooperative, courteous, and professional relationship while interacting with other departments, employees, management and insureds; ability to communicate effectively with diplomacy and professionalismStrong business writing skills required, communicate clearly and professionally while ensuring communication aligns with company standards and brandingDisplay strong problem-solving abilities, with the capacity to perform effectively under pressure and adapt to shifting priorities in a dynamic office environmentAbility to work onsite in the Roslyn, NY office from 9:00am to 5:00pm, Monday – FridayMeticulous with strong time management, multitasking, and organizational skillsAbility to function in a professional office environment and utilize standard office equipmentAbility to multi-task and prioritize tasks and deadlinesAbility to work independently or in a team atmosphereThe actual compensation for this position will be determined by experience and other factors permitted by law.