Claims Representative II Trainee

The Claims Rep II Trainee is a closely supervised, entry-level position in which the incumbent obtains knowledge and an understanding of claims handling through both a formal and on-the-job training program. Upon the successful completion of the program, the Claims Rep II - Trainee is a candidate for promotion to the Claims Rep II position.The ideal candidate will reside in the Harrisburg, PA region.ESSENTIAL DUTIES AND RESPONSIBILITIESTeam BuildingDemonstrates honesty; keeps commitments made to others; behaves in a consistent manner; keeps sensitive information confidential; adheres to moral, ethical, and professional standards, regulations, and organizational policies.Listens to others and objectively considers their ideas and opinions, even when they conflict with own.Attention to DetailsAs training progresses, perform basic claims handling duties on non-complex claims, under the supervision of the Team Leader, to include:accurate preparation of claim file documentationverification of coveragessetting/adjusting reservesmaking appropriate contactsachieving best practices type settlements in the disposition of claimsIssue payments within authority to appropriate partiesQuality OrientationAccurately and carefully follows established procedures for completing work tasks.Positive ApproachLooks for and communicates the positive qualities and longer-term benefits of challenging situations (while facing the real problems).Applied LearningSuccessfully complete prescribed professional education courses (IIA, AIC, etc.).Complete and apply knowledge and skills developed during formal classroom and/or on-the-job training sessions, as set forth in defined training schedule.Performs other duties as may be assigned by the Team Leader.SPECIAL RELATIONSHIPSThe Claims Rep II Trainee reports to the Claims Manager.The Claims Rep II Trainee has direct contact and interaction with all levels of personnel within the Claims Service Office.As training progresses, will have direct contact with policyholders, claimants, medical and legal professionals and vendors.QUALIFICATIONSEducation/Credentials0-2 years of experience in a customer service oriented positionTechnical/ Professional KnowledgeEffective communication skills, both oral and writtenEffective inter-personal skillsPersonal Computer skills, with an emphasis on Microsoft productsAbility to work within a team-oriented, fast-paced, customer-focused environmentJOB REQUIREMENTS (as required by ADA – Americans with Disabilities Act)This position is primarily a sedentary position that requires occasional standing and walking throughout the office environment.Must be able to see and effectively use a computer monitor.Must be able to operate a computer, keyboard and applicable printers and other general office equipment.Must be able to access and enter information accurately using automated systems.Must be able to hear and communicate via the telephone and/or monitoring devices to both internal and external clients.Must be able to present information to individuals and groups.Must be able to interpret and apply concepts that may or may not be based upon established guidelines.Must be able to maintain acceptable attendance and adhere to scheduled work hours.Must have a valid driver’s license and be able to operate a motor vehicle.