Claim Representative Pip Trainee Jobs

Assumes professional responsibility for development of skills and ongoing education to maintain certification.

Other specials projects set by the Revenue Cycle Manager.

Years of medical billing experience is required.

Knowledge of medical terminology is required.

Great communication and organization skills.

Basic excel skills such as the ability to perform or simple calculations with formulas and functions and format spreadsheets is required.

Develop and maintain knowledge of policy contracts, court decisions, and industry trends.

Attend and participate in company claim meetings, seminars, and continuing education activities.

Strong written and verbal communication skills.

Good negotiation and public relations skills.

Support the corporate strategy of our commitment to the member relationship.

Support the strategic mission of the Claims function as it relates to goals for the organization.

Adhere to approved claim workflow requirements to maximize efficiency.

Associates degree or two years of experience in a business environment.

Strong interpersonal, written and verbal communication skills.

Attention to detail, accuracy and organization skills are essential.

Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.

Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.

Associates degree and/or four years experience in a business environment

Previous claim processing experience required

Attention to detail, accuracy and organization skills are essential

Strong interpersonal, written and verbal communication skills

Cooperative, professional and effective interaction skills with co-workers, business partners and visitors

Consistently process advanced & complex claim queues with a 99% or greater accuracy rate.

Applies broad knowledge of training facilitation and coaching skills

2 years of PIP experience, strongly preferred

Value providing an effortless customer service experience

Possess clear and professional communication skills – both written and verbal

Being bilingual and/or having prior military experience is a plus

Applies broad knowledge of insurance policy, coverage, and regulation

Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience

Manage time, organize and plan work load and responsibilities

Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent

Required Qualifications (these Are The Minimum Requirements To Qualify)

Education (include minimum education and any licensing/certifications):

manage time, organize and plan work load and responsibilities

Experience handling first party auto medical claims in Florida, Minnesota, New York, New Jersey, Oregon, Texas, Maryland and Utah.

Comprehensive knowledge of medical terminology, CPT codes and ICD 10.

Effective verbal and written communication skills\

Family-building, fertility, adoption and surrogacy benefits

401(k) with employer match, Employee Stock Purchase Plans, and other financial benefits

Voluntary benefits to include: critical illness, hospital indemnity, accident insurance, theft & legal services, and pet insurance

3+ years Property claims experience preferred

Excellent verbal and written communication skills

Excellent problem-solving and negotiation skills

Excellent organizational and prioritization skills

Adjusters with advanced experience will be considered at the Sr. Level.

Starting salary and level of position will depend on level of experience

Time management skills from a global case management and pending perspective (vs. transactional)

We are actively seeking Experienced PIP/Med-Pay Candidates with Michigan claims handling experience. The role is Fully Remote!

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

Identifies customer needs and works to meet those needs using appropriate customer service skills

Bachelor’s degree preferred or equivalent experience

0-2 years of related experience

Have a college degree or equivalent work experience.

Two years of previous claims experience.

Have strong written and oral communications skills.

Have strong investigation, reasoning, and listening skills.

Have a high level of organizational and decision-making skills.

Experience using claims programs and technology such as Hover, Ladder Now, Eagle View, and Xactimate to write estimates.

Strong interpersonal skills demonstrated through work experience, participation in extra-curricular activities and/or community involvement

Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:

Excellent verbal communication skills service

Ability to learn and apply claim handling skills, including

Identify non-complex claims for one-touch claim adjudication upon intake.

Determine the type and extent of loss and ensures the claim is consistent with all reported facts.

Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent

Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.

Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:

Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience

One year of experience with:

Analyze and solve problems while demonstrating sound decision making skills.

Stays abreast of state license requirements and participates in education as required.

Strong claims technical knowledge for associated line of business.

Must show the ability to develop or have proven analytical, negotiation, decision making, problem solving and organizational skills.

Bachelor’s degree preferred or equivalent claims technical experience required.

1-3 years of claims experience.

Independently determines exposure, establishes adequate initial reserves, and makes timely adjustments as required.

Assist in agency management by providing feedback to Underwriting.

Bachelor’s degree in business or equivalent work experience preferred.

3+ years previous property claims experience preferred.

2+ years previous Commercial Lines and construction defect claims experience preferred.

Knowledge of claims laws and coverages.

Ability to effectively work from home

Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

Meets all quality standards and expectations in accordance with the Knowledge Guides.

Manages file inventory to ensure timely resolution of cases.

Identifies and refers claims with Major Case Unit exposure to the manager.

Bachelor’s Degree preferred or a minimum of two years of work OR customer service related experience preferred.

Verbal and written communication skills –Intermediate

Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.

Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent

Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.

Manage time, organize and plan workload and responsibilities.

Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience

Six months of experience with:

Bachelor’s Degree preferred or a minimum of 2 years of work OR customer service related experience preferred.

Verbal and written communication skills –Intermediate

High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.

The on the job training includes practice and execution and coaching on the following core assignments:

Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.

Participate in Telephonic and/or onsite File Reviews.

Manage time, organize, and plan workload and responsibilities.

Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:

Associate or Bachelor’s degree in Business Administration, Insurance or a related field and/or equivalent coursework and experience

Demonstrate effective communication skills (verbal and written) with others in a work environment and with the public.

Demonstrate basic PC software skills (e.g. Word, Excel, etc.)

IIA or CPCU coursework or designation

Stays abreast of state license requirements and participates in education as required.

Strong claims technical knowledge for associated line of business.

Must show the ability to develop or have proven analytical, negotiation, decision making, problem solving and organizational skills.

Must be able to communicate professionally, including effective strong oral, written, and listening skills.

Bachelor’s degree preferred or equivalent claims technical experience required.

1-3 years of claims experience.

Manage time, organize, and plan workload and responsibilities.

Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:

Associate or Bachelor’s degree in Business Administration, Insurance or a related field and/or equivalent coursework and experience

Demonstrate effective communication skills (verbal and written) with others in a work environment and with the public.

Demonstrate basic PC software skills (e.g. Word, Excel, etc.)

IIA or CPCU coursework or designation