Insurance Claims Associate (225-829)

The Insurance Claims Associate plays a critical role in managing and processing insurance claims for our clients. This position requires a detail-oriented professional who can efficiently handle customer inquiries and ensure claims are resolved according to company policies and regulatory standards. Candidates should have a strong understanding of insurance policies, excellent customer service skills, and the ability to navigate complex situations with professionalism. Our ideal candidate is adept at managing documentation, coordinating with various departments, and maintaining accurate records to support the claims decision-making process. This role offers the opportunity to develop within a dynamic environment while contributing to the overall satisfaction and loyalty of our customer base.

Responsibilities

• Review and process insurance claims for completeness and accuracy.
• Communicate effectively with claimants to gather necessary information for claims processing.
• Analyze documentation to determine claim eligibility in accordance with company policy.
• Liaise with medical professionals, repair technicians, and other relevant parties for claim verification.
• Maintain professional and timely written and verbal correspondence with all stakeholders.
• Input and update detailed claim information into the company database efficiently.
• Identify potential fraudulent claims and escalate concerns to the appropriate department.
• Resolve complex claim cases by collaborating with senior claims analysts and management.
• Adhere to compliance and regulatory requirements in all aspects of the claims process.
• Provide excellent customer service by addressing claimant inquiries and concerns promptly.
• Prepare detailed claims reports and summaries for internal and external review.
• Participate in ongoing training and development sessions to keep abreast of industry changes.

Requirements

• Bachelor’s degree in finance, business, or a related field preferred.
• Minimum of two years of experience in insurance claims processing or related field.
• Strong analytical skills with the ability to interpret and process complex information.
• Exceptional verbal and written communication skills are essential.
• Proficient in using claims management software and other related computer applications.
• Ability to manage multiple tasks and priorities in a fast-paced environment.
• A keen eye for detail and accuracy in processing insurance claim information.