Claims Trainee Auto - Hybrid, Plano, TX

Job Description

Description

Job Summary:

Responsible for coverage verification, investigation, damage assessment, evaluation, negotiation and resolution of claims.  Accountable for proper payout and quality of claim files.  Handles some or all of the following: No-Fault/PIP, bodily injury, and property damage.

Essential Job Functions:

• Contact and establish a rapport with customer, injured party or property owner to obtain information. Comply with 24-hour contact requirements.

• Obtain all relevant facts to determine coverage, liability or compensability on claims files.

• Determine and analyze damages through appraisal, inspection and investigation.

• Utilize and manage experts to determine facts, damages and exposure, ensuring that the value of the service is greater than the cost.

• Evaluate information to assess proper resolution of claims to determine appropriate and fair payout.

• Negotiate settlement based upon strategies and plans that ensure appropriate fair settlement of the claims.

• Provide customer satisfaction by establishing a rapport with customers and by resolving issues.

• Comply with Quality Validation, TAACC instructions, Customer Service Manual, Information Security procedures and the Tokio Marine SIU program.

• Determine subrogation and salvage potential of claims.

• Handle No-Fault/PIP claims.

• Utilize inter-company arbitration to resolve claims, as well as, use of mediation, settlement conferences and alternate dispute resolution (ADR).

• Communicate and work with both internal and external customers.

• Handle automobile bodily injury and property damage claims.

• Establish and monitor indemnity and expense reserves on claim files.

• Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company.

Qualifications:

• Four year college degree preferred

• No claims experience required but two years work/business experience preferred

• Ability to organize, establish priorities, and communication well required

• Computer knowledge, such as Microsoft Word, Excel etc.

• Obtain adjuster licenses

• Bilingual in English and Japanese preferred