Claims Representative II - Trainee (Administrative)

The Claims Rep II Trainee is a closely supervised, entry-level position in which the incumbent obtains knowledge and an understanding of claims handling through both a formal and on-the-job training program.  Upon the successful completion of the program, the Claims Rep II - Trainee is a candidate for promotion to the Claims Rep II position.

The ideal candidate will reside in the Harrisburg, PA region. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

Team Building

• Demonstrates honesty; keeps commitments made to others; behaves in a consistent manner; keeps sensitive information confidential; adheres to moral, ethical, and professional standards, regulations, and organizational policies.
• Listens to others and objectively considers their ideas and opinions, even when they conflict with own.

Attention to Details

• As training progresses, perform basic claims handling duties on non-complex claims, under the supervision of the Team Leader, to include:  
  • accurate preparation of claim file documentation
  • verification of coverages
  • setting/adjusting reserves
  • making appropriate contacts
  • identifying subrogation and salvage opportunities
  • achieving  best practices type settlements in the disposition of claims
  • Issue payments within authority to appropriate parties

Quality Orientation

• Accurately and carefully follows established procedures for completing work tasks.

Positive Approach

• Looks for and communicates the positive qualities and longer-term benefits of challenging situations (while facing the real problems).

Applied Learning

• Successfully complete prescribed professional education courses (IIA, AIC, etc.).
• Complete and apply knowledge and skills developed during formal classroom and/or on-the-job training sessions, as set forth in defined training schedule.

Performs other duties as may be assigned by the Team Leader.

SPECIAL RELATIONSHIPS

• The Claims Rep II Trainee reports to the Claims Manager.
• The Claims Rep II Trainee has direct contact and interaction with all levels of personnel within the Claims Service Office.
• As training progresses, will have direct contact with policyholders, claimants, medical and legal professionals and vendors.

QUALIFICATIONS

• 0-2 years of experience in a customer service oriented position

Technical/ Professional Knowledge

• Effective communication skills, both oral and written
• Effective inter-personal skills
• Personal Computer skills, with an emphasis on Microsoft products
• Ability to work within a team-oriented, fast-paced, customer-focused environment

JOB REQUIREMENTS (as required by ADA – Americans with Disabilities Act)

• This position is primarily a sedentary position that requires occasional standing and walking throughout the office environment.
• Must be able to see and effectively use a computer monitor.
• Must be able to operate a computer, keyboard and applicable printers and other general office equipment.
• Must be able to access and enter information accurately using automated systems.
• Must be able to hear and communicate via the telephone and/or monitoring devices to both internal and external clients.
• Must be able to present information to individuals and groups.
• Must be able to interpret and apply concepts that may or may not be based upon established guidelines.
• Must be able to maintain acceptable attendance and adhere to scheduled work hours.
• Must have a valid driver's license and be able to operate a motor vehicle.