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Become A Claims Associate

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Working As A Claims Associate

  • Getting Information
  • Resolving Conflicts and Negotiating with Others
  • Interacting With Computers
  • Communicating with Supervisors, Peers, or Subordinates
  • Identifying Objects, Actions, and Events
  • Unpleasant/Angry People

  • Mostly Sitting

  • Repetitive

  • Make Decisions

  • $62,980

    Average Salary

What Does A Claims Associate Do At Kelly Services

* Processing of new leaves and all daily follow-ups assigned
* Determine eligibility and availability of leave time for each employee requesting leave
* Determine and generate appropriate communications to comply with FMLA regulations and customer procedures
* Review medical certifications and other documentation submitted
* Determine the appropriate status of leave under FMLA and state leave regulations
* Communicate medical or absence information
* Management of a leave through duration, reporting status to Employer, employee and other internal units
* Respond to leave questions and issues from employees or Employer contacts
* May perform other duties as assigned

What Does A Claims Associate Do At Combined Insurance

* Duties may include, but are not limited to:
* Assists with new losses, verifies accuracy of information via coverage.
* Registers new loss information on the system.
* Performs file updates on system as directed by claims reps.
* Registers loss payments on system.
* Deals with agents, insureds, clients, and other customers via verification.
* Completes loss registration forms.
* Handles jurisdictional notices, payment of benefits, scheduling medical appointments, completion and filing of necessary forms
* May handle entry level rep duties on minor claims
* Assistants with Claims Rep coverage in the team and may perform duties related to the initial investigation of a claim
* Handles other administrative duties for the team as assigned

What Does A Claims Associate Do At Sears Holdings

* Ensures customer care and selling are #1 priority
* Monitors shrink; takes appropriate action to minimize waste
* Makes eye contact, smile and greet all customers that come within ten feet of you
* Assists store associates in receiving Distribution Center (DC) deliveries
* Ensures that food safety guidelines in storage and processing procedures are being adhered to as well as processes refrigerated goods and restaurant goods in a timely manner
* Keeps current on preprinted 620 and type B Genco returns
* Ensures that all Genco-eligible merchandise has Universal Product Code (UPC) scan labels
* Makes sure merchandise area is organized and files are set up per office standardization requirements (i.e., Fed Ex and UPS logs are maintained and accurate entries are kept for credit processing)
* Ensures credit memos are processed and keyed within 24 hours
* Daily processing of waste buster containers, out of package and known stolen merchandise using the Inventory Unit Adjustment
* application in the Remote Maintenance Unit (RMU)
* Reviews reporting for type 2 Selling Price Adjustments (SPA) to ensure eligible Genco returns are not creating unnecessary
* markdowns
* Follows up with Repair and Return (R&R) tags over 30 days.
* Claims filed with vendors or service center if not reconciled in 90
* days
* Performs other duties as assigned

What Does A Claims Associate Do At Robert Half

* _
* Resolving telephonic claim issues
* Providing excellent customer service
* Researching and investigating claim issues
* Processing all types of claim adjustments
* Assist with daily claim edit reports and daily production of incoming claims
* If you are interested, please submit your updated resume to Kaite at _kaite.alexander@roberthalf.com_
* OfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field.
* We are faster at finding you work because of the depth of our client network.
* Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities.
* We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area.
* Apply for this job now or contact us today at 888
* for additional information.
* All applicants applying for U
* S. job openings must be authorized to work in the United States.
* Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.
* OfficeTeam.
* A Robert Half Company.
* An Equal Opportunity Employer M/F/Disability/Veterans.
* By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.
* Req ID:
* Functional Role:
* Administrative
* Medical
* Country:
* USA
* State:
* CA
* City:
* Oakland
* Postal Code:
* Compensation:* $20.00 to $25
* per hour

What Does A Claims Associate Do At State Street

* Perform internal research and forward claims within industry standard timeframes.
* Work with numerous internal and external parties to assess liability and negotiate resolution of outstanding claims/overdrafts.
* Prepare claims summary and payment authorization.
* Maintain claims tracking and summary reporting workbooks.
* Prepare ad hoc reports

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How To Become A Claims Associate

A high school diploma or equivalent is typically required for a person to work as an entry-level claims adjuster, examiner, or investigator. Higher level positions may require a bachelor’s degree or some insurance-related work experience. Auto damage appraisers typically have either a postsecondary nondegree award or work experience in identifying and estimating the cost of automotive repair.

Education

A high school diploma or equivalent is typically required for a person to work as an entry-level claims adjuster, examiner, or investigator. However, employers sometimes prefer to hire applicants who have a bachelor’s degree or some insurance-related work experience or vocational training. Auto damage appraisers typically have either a postsecondary nondegree award or experience working in an auto repair shop, identifying and estimating the cost of automotive repair.

The varying types of work in these occupations can require different backgrounds or different college coursework. For example, a business or an accounting background might be best for someone who wishes to specialize in claims of financial loss due to strikes, equipment breakdowns, or merchandise damage. College training in architecture or engineering is helpful for adjusting industrial claims, such as those involving damage from fires or other accidents. A legal background is beneficial to someone handling workers’ compensation and product liability cases. A medical background is useful for examiners working on medical and life insurance claims.

Although auto damage appraisers are not required to have a college education, most companies prefer to hire people who have the formal training, experience, or knowledge and technical skills to identify and estimate the cost of automotive repair. Many vocational schools and some community colleges offer programs in auto body repair and teach students how to estimate the cost of repairing damaged vehicles.

For investigator jobs, a high school diploma or equivalent is the typical education requirement. Most insurance companies prefer to hire people trained as law enforcement officers, private investigators, claims adjusters, or examiners, because these workers have good interviewing and interrogation skills.

Training

At the beginning of their careers, claims adjusters, examiners, and investigators work on small claims, under the supervision of an experienced worker. As they learn more about claims investigation and settlement, they are assigned larger, more complex claims.

Auto damage appraisers typically get on-the-job training, which may last several months. This training usually involves working under the supervision of a more experienced appraiser while estimating damage costs, until the employer decides that the trainee is ready to do estimates on his or her own.

Licenses, Certifications, and Registrations

Licensing requirements for claims adjusters, appraisers, examiners, and investigators vary by state. Some states have few requirements; others require either completing prelicensing education or receiving a satisfactory score on a licensing exam (or both).

In some states, claims adjusters employed by insurance companies do not have to become licensed themselves because they can work under the company license.

Public adjusters may need to meet separate or additional requirements.

Some states that require licensing also require a certain number of continuing education credits per year to renew the license. Federal and state laws and court decisions affect how claims must be handled and what insurance policies can and must cover. Examiners working on life and health claims must stay up to date on new medical procedures and the latest prescription drugs. Examiners working on auto claims must be familiar with new car models and the most recent repair techniques. In order to fulfill their continuing education requirements, workers can attend classes or workshops, write articles for claims publications, or give lectures and presentations.

Important Qualities

Analytical skills. Adjusters and examiners must both evaluate whether the insurance company is obligated to pay a claim and determine the amount to pay. Adjusters must carefully consider various pieces of information to reach a decision.

Communication skills. Claims adjusters and investigators must get information from a wide range of people, including claimants, witnesses, and medical experts. They must know the right questions to ask in order to gather the information they need.

Detail oriented. Adjusters, appraisers, examiners, and investigators must carefully review documents and damaged property, because small details can have large financial consequences.

Interpersonal skills. Adjusters, examiners, and investigators often meet with claimants and others who may be upset by the situation that requires a claim or by the settlement the company is offering. These workers must be understanding, yet firm with their company’s policies.

Math skills. Appraisers must be able to calculate property damage.

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Claims Associate jobs

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Claims Associate Demographics

Gender

  • Female

    69.6%
  • Male

    28.6%
  • Unknown

    1.8%

Ethnicity

  • White

    80.6%
  • Hispanic or Latino

    11.1%
  • Asian

    6.5%
  • Unknown

    1.2%
  • Black or African American

    0.6%
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Languages Spoken

  • Spanish

    73.8%
  • French

    8.2%
  • Carrier

    4.9%
  • Portuguese

    1.6%
  • German

    1.6%
  • Dutch

    1.6%
  • Hindi

    1.6%
  • Urdu

    1.6%
  • Polish

    1.6%
  • Korean

    1.6%
  • Arabic

    1.6%
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Claims Associate

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Claims Associate Education

Claims Associate

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Top Skills for A Claims Associate

CustomerServiceSkillsDocumentLossInformationLiabilityDecisionsAutoClaimsInsuranceClaimsStateFarmSystemsMedicalClaimsDataEntryClaimsProcessLargeVolumeTotalLossTelephoneCallsInternetPhoneCallsMedicalProvidersInsurancePoliciesInsuranceCompaniesNewClaimsInboundCallsExternalCustomers

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Top Claims Associate Skills

  1. Customer Service Skills
  2. Document Loss Information
  3. Liability Decisions
You can check out examples of real life uses of top skills on resumes here:
  • Serviced claims and positioned calls while maintaining exceptional customer service skills.
  • Gather and document loss information.
  • Interviewed all involved parties and determined liability decisions based on all given information and evidence.
  • Investigated auto claims thoroughly to come to equitable solution in liability.
  • Process all health insurance claims, ensuring correct parties receive health benefits at the proper rate.

Top Claims Associate Employers

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