Claims Agent I

Overview

The Claims Agent I is responsible for accurately and efficiently reviewing, processing, and resolving claims, while ensuring adherence to company policies, industry regulations, and customer service standards. This role involves examining claim forms and related documentation to assess insurance coverage and determine whether additional information is required.

Responsibilities

• Communicate with clients to gather necessary information, provide updates, and explain claim outcomes.
• Handle customer inquiries and complaints professionally, ensuring resolution in a timely manner.
• Review and assess claim documentation for accuracy, completeness, and validity.
• Determine claim eligibility based on policy terms, conditions, and coverage limits.
• Input claim details into the claims management system, ensuring accuracy and compliance.
• Work closely with internal teams, such as underwriting, legal, and finance, to resolve claims effectively.
• Coordinate with external vendors, adjusters, and other third parties involved in the claims process.
• Maintain accurate records of claims and related correspondence.
• Generate claims reports to identify trends, patterns, or areas for improvement.
• Stay up to date on industry regulations, company policies, and best practices related to claims management.
• Identify potential fraud or non-compliance issues and escalate them as required.
• Support the development and implementation of improved claims workflows and procedures.
• Provide feedback and suggestions to enhance customer satisfaction and operational efficiency.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

Education

• High School degree or GED (Required)
• Some College/Associate's Degree or higher (Preferred)

Experience

• 1+ years experience in claims administration within the logistics industry (Required)

Knowledge, Skills, And Abilities

• Ability to multi-task with strong attention to detail (Medium)
• Ability to work in a team setting, across multiple time zones and global geographies (Medium)
• Ability to determine resources to meet and exceed company and customer expectations (Medium)
• Ability to problem solve and be solution oriented (Medium)
• Computer Skills (Medium)

Pay

The wage range for this position is $20.60-$29.00 and may vary based on geography as well as relative knowledge, skills, abilities, and experience.