Internship Corporate Claims Compliance and Quality
AF Group

Job Info

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SUMMARY:

Ever wonder how an insurance claims department ensures that it does what it promises for their customers and has enough money set aside to pay claims? How do insurance carriers make sure they are complying with claim rules and regulations that are different in every state? And how do they create and implement strategies for improvement? This is an opportunity to go behind the curtain and be part of a Claims Quality & Compliance Team. Learn about multiple lines of insurances, participate in audits, provide input into action plans, assess trends using data analytics and learn how to be proactive in assessing and addressing risk. This internship will have you interacting with multiple areas of a claim department including operational areas as well as external facing roles. Become part of a supportive and knowledgeable group excited to have you as part of the team.

Check out the Internships at Emergent Holdings video to learn more.

JOB DESCRIPTION:

• Participate in audits related to claim handling and compliance with state regulations.
• Create a penalty log and research why penalties were received.
• Assist in managing our audit system.
• Analyze key audit strengths and opportunities.
• Learn about EDI and assist with correcting some EDI errors.
• Participate in research projects.
• Support the State Proactive Compliance Process.
• Prepares and delivers presentation(s) on assigned topic(s).
• Attends unit, departmental, and corporate meetings as assigned.
• Shows learning and both personal and professional growth and understanding of responsibilities.
• Gains an understanding of how company and business works.
• Shows punctuality, professionalism, and a positive attitude when completing assignments.
• Manages multiple deadlines.
• Completes miscellaneous assignments as assigned.
• Uses company software applications to complete assignments.
• Maintains confidentiality.
• Responds to internal and external customer inquiries.
• This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS:

• Have status as a sophomore, junior or senior as of the end of the spring term (or be enrolled in an applicable graduate program.)
• Have status as a rising freshman, at least 18 years-old, who is enrolled in or has completed a vocational insurance-related program, with some college credits.
• Hold a cumulative grade point average of 3.0 or better as of the most recent grading period.
• Be able to work full-time during normal business hours for this summer.
• Be available to begin employment between mid-May and mid-June.

EDUCATION OR EQUIVALENT EXPERIENCE: Currently enrolled and active in any educational degree program that aligns with our various businesses.

EXPERIENCE: With proper education credentials no experience necessary. Previous work experience preferred.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Excellent oral and written communication skills.
• Excellent working knowledge of computers and company standard software; Internet research experience strongly preferred.
• Ability to proofread documents for spelling, grammar and punctuation.
• Ability to perform necessary mathematical computations.
• Ability to comprehend consequences of various situations and make appropriate individuals aware of same for decision making.
• Ability to exchange information clearly and concisely and to present ideas, report facts and other information.
• Ability to establish workflows, manage multiple projects and meet necessary deadlines while maintaining composure during stressful situations occurring as a result of workloads and/or deadlines.
• Ability to maintain confidentiality.

WORKING CONDITIONS:

• Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $18 and $33.

We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an \"at will\" basis. Nothing herein is intended to create a contract.

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