Claim Representative Trainee (PIP)

It s a great time to join AAA The Auto Club Group! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time Exempt/Non Exempt: Hourly Job Description: 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: • ...