Entry-level claims representative responsible for investigating and evaluating minor-to-moderate claims, determining coverage, liability, and damages, communicating with customers, documenting investigations, managing claim statuses, and issuing authorized payments. The role includes training in claims handling, negotiations, settlements, diary management, and resolution procedures. Success requires strong customer service, organization, communication, analytical thinking, conflict resolution, and the ability to manage high claim volumes and frequent interruptions.
General Summary
The Associate AMD Claims Representative is an entry-level role that is designed for continuous career growth into the role of AMD Claim Representative. This position learns to investigate and evaluate AMD claims as well as resolves claims from a minor to moderate value. Formal training on claims handling, coverage investigations, negotiations, settlements, diary management, and overall claims resolution are part of the overall role.
Essential Functions
- Complies with company procedures and the applicable State Fair Claims Practices Acts.
- Reviews policies and claim forms, and manages all external communication with insureds, claimants, and other contacts associated with the claim to determine coverage, liability and damages.
- Maintains accurate claims and investigative reports.
- Provides optimal customer service during times of high claim volume, which can be frequent; must be able to manage high call, email, and text volume from various customers.
- Handles administrative responsibilities associated with the processing and payment of claims:
- records and updates status notes,
- documents the results of external information gathering,
- administers correspondence to customers regarding the status of their claims.
- Issues loss and expense payments within stated authority and comply with check security procedures.
- Works in a team environment to:
- promote and support the unit, department and organizational goals,
- communicate effectively,
- establish positive relationships with team members,
- work with colleagues effectively and professionally.
- Performs other duties as assigned.
Working Conditions
- Normal office working conditions.
- Sitting for extended periods of time.
- Eye strain and fatigue.
- Extended computer usage.
- Handling numerous phone and points of contact from customers daily
- Stress associated with high claims volume, upset customers, making difficult decisions and meeting deadlines.
QUALIFICATIONS
Skills and Abilities
- Must be proficient with operating a computer.
- Exceptional customer service skills.
- Experience working in a customer service environment where conflict resolution, time management, workload prioritization and follow-up are key priorities.
- Strong organizational and detail-oriented skills.
- Ability to focus and manage with frequent interruptions while dealing with various tasks.
- Ability to develop and maintain customer relationships.
- Strong verbal and written communication skills.
- Ability to manage conflict resolution.
- Strong analytical and critical thinking skills.
Education Requirements
- High School Graduate/GED
- College degree preferred or equivalent work experience.
SUPERVISION
Supervision Received
- Periodic supervision since most duties are repetitive and related with standard instruction and procedures as guides.
- Self-reliant with limited oversight.
- Unusual problems are referred frequently to the Claims Unit Manager with suggestions for correction.
Supervision
Exercised
- None
Similar Jobs
Fintech • Professional Services • Sales • Financial Services
Guide customers with significant unsecured debt through personalized debt resolution solutions. Manage a high-value sales pipeline, conduct consultative financial conversations, explain program options and outcomes, prioritize follow-ups, and close opportunities within one or two calls while meeting sales goals.
Top Skills:
Fiber BroadbandHigh-Speed Internet
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Leads tax planning, compliance, consulting, and business advisory engagements for construction clients. Manages complex multi-state taxation, long-term contract accounting, pass-through taxation, and entity structuring. Builds client relationships, identifies tax-saving opportunities, supports business development, oversees engagement quality and profitability, and mentors tax professionals. Requires significant public accounting experience, construction industry expertise, CPA licensure, strong leadership, communication, and business development capabilities.
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Provides outsourced HR consulting and support to clients across benefits administration, performance management, onboarding, offboarding, compliance, HRIS optimization, documentation, and general HR operations. Builds client relationships, addresses HR concerns, researches employment regulations, improves processes, and contributes to service-line growth and business development.
Top Skills:
AdpClient Relationship Management ToolsHrisIsolvedMicrosoft Office SuitePaylocityVirtual Meeting Platforms
What you need to know about the NYC Tech Scene
As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory
