Selective Insurance Company of America

Claims Trainee

US
Experience (Years)
0
Category
Claims
Status
Full-Time Regular
FLSA Status
Non-Exempt/Hourly
Job ID
5649
Travel %
0-5%
Relocation Cost
0
Auto Reimbursement
No

Overview

Learn to evaluate and process claims by the successful completion of our training (may include on-the-job, self-study, and classroom).  Learns  investigation, policy coverage, litigation and claim resolution. Responsibilities include effective and consistent partnerships; administration of benefits, litigation management and claim resolution.
All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

 

Responsibilities

  • Attend training program and meet all requirements associated with completion of hosted coursework.
  • Provide voice to voice contact  same day of first report.
  • Obtain facts from insures, injured workers, claimants, agents, witnesses, attorney and/or underwriters.
  • Maintain contact throughout the life of the file, as needed.
  • Determine coverage/compensability, facts of loss and degree of liability/exposure.
  • Work closely with Team Lead to promptly resolve claim issues.
  • Refer claims as appropriate and timely, based on exposure and established guidelines.
  • Maintain quality claim files in accordance with appropriate QA Guidelines, recognize and implement alternate means of resolution.
  • Provide customer service contact to give, receive or exchange information.
  • Ability to obtain a claim adjuster license is required.

 

Qualifications

  • Energetic team player with excellent customer service, interpersonal and communication skills.
  • Strong time management skills and ability to prioritize daily assignments.
  • Must be highly organized with ability to handle multiple tasks simultaneously to meet deadlines.
  • Must show sound, balanced and timely decision making skills.
  • High School diploma or equivalent and College degree preferred.
  • Following Education/Experience preferred:
  • Proficient in most standard business software applications, particularly Microsoft Office (Excel, PowerPoint, Word and Outlook), Internet and HRIS.
  • Must have a valid driver’s license in good standing and ability to travel.
  • Within 1 year the trainee should be a fully designated Claim Professional in compliance with the standards set by multi state jurisdictions.

 

Selective is an Equal Employment Opportunity employer. Selective maintains a drug-free workplace.

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