Job Description

General Summary The Associate AMD Claims Representative is an entry-level role that is designed for continuous career growth into the role of AMD Claim Representative. This position learns to investigate and evaluate claims as well as resolves claims from a minor to moderate value. Formal training on claims handling, coverage investigations, negotiations, settlements, diary management, and overall claims resolution are part of the overall role. Essential Functions

• Complies with company procedures and the State Fair Claims Practices Act.
• Reviews policies and claim forms, and manages all external communication with insureds, claimants, and other contacts associated with the claim to determine damages.
• Maintains accurate claims and investigative reports.
• Provides optimal service during times of high claim volume, which can be frequent; must be able to manage high call, email, and text volume from various customers.
• Handles administrative responsibilities associated with the processing and payment of claims:
• records and updates status notes,
• documents the results of external information gathering,
• administers correspondence to customers regarding the status of their claims.
• Issues loss and expense payments within stated authority and complies with check security procedures.

* Works in a team environment to:

• promote and support the unit, department and organizational goals,
• communicate effectively,
• get along with team members,
• work with colleagues effective and professionally.
• Performs other duties as assigned.

Working Conditions

• Normal office working conditions.
• Sitting for extended periods of time.
• Eye strain and fatigue.
• Extended computer usage.
• Handling numerous phone and points of contact from customers daily
• Stress associated with high claim volume, upset customers, making difficult decisions and meeting deadlines.

QUALIFICATIONS

Skills and Abilities

• Must be proficient with operating a computer.
• Exceptional customer service skills.
• Experience working in a customer service environment where conflict resolution, time management, workload prioritization and follow-up are key priorities.
• Strong organizational and detail-oriented skills.
• Ability to focus and manage with frequent interruptions while dealing with various tasks.
• Ability to develop and maintain customer relationships.
• Strong verbal and written communication skills.
• Ability to manage conflict resolution.
• Strong analytical and critical thinking skills.

Education Requirements

• High School Graduate/GED.
• College degree preferred or equivalent work experience.

SUPERVISION

Supervision Received

• Periodic supervision since most duties are repetitive and related with standard instruction and procedures as guides.
• Self-reliant with minimal oversight.
• Unusual problems are referred frequently to the Claims Unit Manager with suggestions for correction.

Supervision Exercised * None

Job Tags

Work experience placement,

Similar Jobs