Associate Claims Examiner

What You’ll Do

• Development and Learning: Develop a foundational understanding of the requirements for processing claims up to $100,000, with direct oversight and assistance from a Claims Lead. Demonstrate basic competency in these areas as a prerequisite for advancement. This includes building a strong understanding of industry regulations, terms and conditions, and insurance policies relevant to claim processing.
• Foundational Claim Processing: Process assigned claims efficiently and accurately, from filing to resolution, while meeting time standards. This includes reviewing documents for accuracy and collaborating with the Claims Lead to research and evaluate evidence to make informed decisions.
• Financial Transaction Processing: Process payments to customers and deductions from carriers. Identify the different parties involved in claims-related financial transactions, including customers, vendors, carriers, and internal credits.
• Foundational External Communication: Communicate professionally and diplomatically with external parties (carriers, insurance companies, customers) to provide status updates, request information, and resolve basic concerns. Handle basic de-escalations effectively on phone calls and in emails.
• Foundational Acumen & Internal Engagement: Develop a basic understanding of the transportation industry and essential business acumen. Maintain ownership of assigned claim tasks and adhere to established time standards. Work cooperatively with internal sales, customer service, carrier representatives, and accounting teams to facilitate claim processing.

Qualifications

• Bachelor’s degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry.
• Exceptional organization skills and high attention to detail.
• Proficient in Google Suite; conduct basic risk analysis and general data reporting.
• Superior written and verbal communication skills. You understand that proactive communication is key.
• Ability to work both independently and collaboratively.
• Strong critical thinking, judgment, and decision-making skills.