Claims Examiner Trainee

Full Time
Martin, TX
Posted
Job description
Job Description
SUMMARY OF JOB PURPOSE:
The Claims Examiner trainee will partner with subject matter experts to learn all facets of the claims process. The Claims Examiner will learn and apply key concepts of communication and time management skills required to perform in the desk adjusting environment. Working closely with a broad scope of stakeholders, the examiner will learn to adjudicate low severity commercial property claims in a variety of business classes. This individual also helps assure that obligations to policyholders are met and that the insurer’s reputation and efficacy are safeguarded.
This position is a great entry-level career opportunity for someone who wants to learn and grow in the insurance industry.
If you are a recent college graduate looking for your first, amazing, post grad opportunity, read on…
DOES THIS SOUND LIKE YOU?
  • The thought of investigative work excites you
  • You have a desire to help others in need
  • You enjoy having flexibility in your work schedule
  • You prefer a spontaneous workday over a predictable workday
If so, this is the trainee program you need to join! Come train with the best of the best and be positioned for a flourishing future at Engle Martin.
Here at Engle Martin, we are dedicated to equipping our team members with personal and professional development opportunities. We believe in working as a team to ensure that team members become future leaders and pioneers in the industry.
WHY ENGLE MARTIN?
Engle Martin is a leading independent loss adjusting and claim management firm. As a team we are committed to excellence, embracing change and exceeding expectations. The care and compassion for what we do, for our customers, for our team members, for our business partners, and for the communities we serve is unparallel. Here, everyone is entrusted to build and embrace a healthy, collaborative workplace culture based on Our Foundation, the mission statement developed by our team members. In addition to a great people centric culture, we also offer:
  • Competitive total rewards
    • Paid Time Off
    • Healthcare
    • Remote Work
  • Investing in personal and professional development
    • Structured training program with dedicated trainers
    • Internal mobility
    • Career Paths
    • Mentoring and Coaching
    • We pay for state licensing
  • Recognizing and celebrating the value of everyone’s contribution
  • Paid travel opportunity
  • Eligibility for semiannual bonus
PRIMARY JOB RESPONSIBILITIES:
  • Learn to properly investigate claims from a desk environment.
  • Learn to apply coverage to various claims, applying a thorough understanding of applicable insurance policies and relevant coverage and loss types. Issues appropriate communication to all stakeholders.
  • Learn to scope property damages from diagrams, photos, experts, etc., received from field resources or SME’s.
  • Learn to create appropriate estimates using the estimate platform.
  • Establishes contact and maintains effective professional relationships with insured parties, agents, brokers, public adjusters, attorneys, and others involved in the claims process.
  • Reviews claims and claim status with clients and insureds as necessary to facilitate the prompt, accurate resolution of claims filed.
  • Obtains and/or prepares the necessary documentation associated with the prompt, accurate, and thorough verification of losses and administration of claims.
  • Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations.
  • Ensures the accuracy of information collected to identify fraud and proper reporting.
  • Conducts prompt, thorough investigations of claims as required and evaluate damages.
  • Assesses subrogation potential of losses and recommend files to the client.
  • Provides support to EMA teams in response to catastrophic events.
  • Stays abreast of industry information, development, and trends.
  • Participates in special assignments and activities as required or approved; demonstrates initiative in the interest of the client and the organization.
  • Maintains the confidentiality of proprietary and sensitive information, exercising sound judgment and discretion in any disclosure of information related to EMA and its endeavors.
  • Adheres to all applicable state insurance regulations and requirements and other applicable laws, regulations, and standards; assume personal responsibility for maintaining a current state adjusting license.
  • Handles small commercial and residential losses.
  • Initial authority level set at zero pending file reviews by Claims Team Leader to assess the Claims Examiner’s ability regarding coverage analysis, damage assessment and proper reserving.
REQUIRED EDUCATION & EXPERIENCE:
  • Recent graduates - Bachelor’s degree within the past two years or 0-2 years of relative work experience.
  • Ability to obtain a license and bond in the assigned state(s).

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