Ocean Technical Apprenticeship

On-the-job Training

• Facilitate claims processing for policy holders
  • 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
• Ensure compliance with standards and policies
  • Comply with company's standards and customer service policies
  • Stay up to date with company's policy rules and any implemented changes
  • Take training from employer to stay current on legal and regulatory changes in the industry