General Insurance Associate

Competency-Based Apprenticeship
Sponsoring Company:
Urban Institute
O*Net Code
43-9041.00
Rapids Code
2040CB
Req. Hours
0
State
DC
Created
Apr 04, 2021
Updated
Apr 04, 2021

Competency-Based Skills

4 skill sets | 17 total skills
Facilitate claims processing for policyholders
Gather and verify information from policyholders and affected parties
Consult policy documentation and determine the extent of coverage for claims
Adjust or deny claims in consideration of deductibles and policy terms
Prepare written reports to document findings about the claim, incident, and related records
Approve and issue payments when charges are deemed allowable and acceptable
Support underwriting activities and risk management
In interactions with new or existing customers, guide them through the underwriting process
Document facts or information needed to assess policy coverage and risk
Refer cases to underwriters when a change in policy or circumstances is determined to fall outside of usual conditions but may still be insurable
Detect fraud and report to special investigators
Communicate well with customers and team members
Establish and maintain courteous client relationships with prospective and existing policyholders
Educate customers about policies, including availability, eligibility, policy changes, transfers, claim processing, billing, and decisions
Communicate clearly with colleagues to support decision-making and the overall efforts of the team and organization
Conduct operational and processing tasks with order, accuracy, and diligence
Input and maintain detailed and up-to-date claim files with data and analysis of coverage, damages, incident reports, correspondence, and related records
Analyze submitted claims, bills, reports, and estimates for accuracy
Handle data within the prescribed sequence and execute prompt processing of claims, documentation, and payments
Comply with internal and external standards and requirements for reporting
Review all material representation to ensure accuracy of any necessary measurement data