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Claims Apprentice

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Job Description :

The Claims Apprentice Program is an exciting opportunity for recent college graduates interested in a career as a Claims Adjuster in the Property & Casualty insurance industry.

As a Claims Apprentice, you will be trained by PMA s team of claims experts and leaders. Over the course of the nine-month program, you will develop your skills and knowledge in the area of workers compensation and / or property and liability as well as assume a caseload of claims of increasing complexity.

Apply now to be considered for our January 2025 program.

Job Responsibilities :

• Promptly investigate assigned claims. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable).
• Ensure timely denial or payment of benefits in accordance with jurisdictional requirements.
• Within granted authority, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure.

Negotiate claims settlements within granted authority.

• Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition.
• Work collaboratively with PMA nurse professionals to develop and execute return to work strategies.
• Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced.
• Communicate effectively with internal and external parties on a wide variety of claims and account issues.
• Authorize treatment based on the practiced protocols established by statute or the PMA Managed Care department.
• Assist PMA clients by suggesting panel provider information in accordance with applicable state statutes.
• Demonstrate commitment to Company s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements :

• Minimum of an Associate s Degree but a Bachelor s Degree is preferred.
• 1-3 years of work and / or volunteer experience in a service-oriented setting.
• Leadership ability as demonstrated through participation in extra-curricular activities.
• Strong organizational and multi-tasking skills.
• Ability to work independently.
• Strong critical thinking skills that demonstrate analysis, judgment and sound decision making.
• Excellent verbal and written communication skills.
• Excellent customer service skills.

Locations

Chicago

Schaumburg

Boston

Baltimore

Lincoln

Mount Laurel

Cleveland

Allentown

Lancaster

Philadelphia

Sioux Falls

Knoxville

Memphis

Nashville

Arlington

Green Bay