Claims Administrator I

Duties and Responsibilities

• Reviewing and verifying insurance claims to ensure completeness and accuracy.
• Investigating and analyzing claims to determine validity and eligibility for payment.
• Communicating with policyholders, beneficiaries, and other stakeholders to gather information and resolve issues.
• Resolving routine and some nonroutine, more complex problems and communicating solutions or requested information to the customer.
• Gains or has attained full proficiency in a specific area of discipline.
• Performing maintenance on accounts per customer request.
• Providing timely resolution of customer/producer complaints, concerns, and inquiries.
• Building effective relationships and trust with producers, customers, and potential customers.
• Maintaining knowledge of changes to the business environment.
• Proactively gathering and updating customer information during interactions.
• May assist with policy changes, claims, and other administrative responsibilities.
• Supports marketing campaigns and product launches.
• Processes customer transactions including but not limited to inflows or outflows of cash or cash equivalents; ensures all necessary information is in place prior to completing transaction; sends appropriate correspondence.
• Distributes all incoming correspondence, when necessary.
• Properly adheres to company risk management principles.

Qualifications

• Claims experience preferred.
• Minimum two (2) years of customer service experience or equivalent preferred.
• Excellent customer service skills.
• Excellent verbal and written communication skills.
• Commitment to excellence and high standards.
• Strong organizational skills; able to manage priorities and workflow.
• Ability to work independently and as a member of various teams.
• Ability to understand and follow written and verbal instructions.
• Ability to perform diversified clerical functions and basic accounting procedures.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Attention to detail.
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.