Claims Examiner Trainee

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: The incumbent is required to successfully complete the Company developed training program. The incumbent is responsible for continually demonstrating the progressive ability to perform the required essential job functions, as well as grow in the ability to process, evaluate, negotiate, adjust and resolve non-complex, standard claims in accordance with prescribed authority and best claims practices. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. 1. Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately. 2. Identify, analyze, and resolve coverage issues according to established Company protocol, including thorough policy review and analysis of application to the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value. 3. Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g., photos, diagrams, blueprints, maps), statements, official reports (e.g., police, fire, weather, hail), and ownership documents (e.g., tax liens, judgments, encumbrances). Identify alleged and actual damages, identify potential liable parties, recognize and address potential fraud. 4. Conduct thorough damage development, leading to timely and adequate evaluations, including appraisals/estimates, business records, invoices, detailed inventory, purchase records, receipts, credit card statements, and ALE documents. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations. 5. Establish voice to voice communication within 24 hours. Maintain effective communications with the Customer at all times. 6. Under supervisor authority, negotiate with policyholders to settle claims of limited monetary value. 7. Maintain company reputation and integrity of insurance products by complying with federal and state regulations, Company protocol, and service standards. Maintain current knowledge of regulations and issues, industry activity, and trends. QUALIFICATIONS Required Qualifications: 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. 1. Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school 2. Adjusters License for states in which the Company conducts business 3. Must successfully complete the Company training program and achieve a passing score on all claims training exams Preferred Qualifications: 1. Fluency in Spanish General Description of Available Benefits for Eligible Employees of TIH Insurance: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit our site. Depending on the position and division, this job may also be eligible for TIH?s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work. TIH supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. Crump Life Insurance is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify AmRisc is the largest catastrophe-focused Managing General Agent (MGA) in the United States. As one of the first MGA's to develop a multi-model approach to risk underwriting, innovation is a core value at AmRisc. Founded by engineers and risk specialists, AmRisc has been built to provide stability in a dynamic market and deliver unmatched solutions for producers, carriers, and their insureds. Teamwork, collaboration, diversity, and inclusion are key components of our culture allowing us to find innovative solutions for our partners. We are always looking for additional talent to join our family. If you are interested in a career with AmRisc, we'd love to hear from you!

Apply Job!