Claims Operations Associate II

Essential Job Functions And Responsibilities

• Processes and organizes claim file information for basic claims for one or more lines.
• Handles moderately complex claims including claims with coverage questions or recovery potential.
• Affords assistance in identifying opportunities to streamline claims procedures, enhance efficiency, and reduce costs.
• Performs other duties as assigned.

Job Requirements

• Work Hours are 10am-7pm Monday-Friday.
• Education: High School Diploma (Associate degree preferred).
• Experience: Generally, a minimum of 3 years of experience in claim operations or customer service.

Scope of Job/Qualifications

• Develops knowledge of local, state, and federal insurance-related policies.
• Effective analytical and organizational abilities with a focus on prioritization.
• Working knowledge of claim data processing systems.
• Excellent interpersonal and communication skills.