Claims Operations Support Specialist

Description

This position is responsible for supporting Claims Modernization initiative and claims processing for all profit centers. The work activities will include:

• Receives and assess First Notice of Loss for setup in claims system or distribution to third parties.
• Aid with processing Five Sigma escalations.
• Research policy and client information in Claims/Underwriting systems.
• Create claims in Claims Systems for various lines of business.
• Issue acknowledgement letters and other claims correspondence.
• Respond to inquiries from internal and external parties.
• Create loss runs from internal systems.
• Create production/analysis reports.
• Conduct User Acceptance Testing for enhancements and product development as needed.
• Communicate with claim managers, brokers, underwriters as needed for proper processing of claims.
• Peer Training and conducting Quality Checks (Five Sigma vs. Claims Enterprise).
• Other duties as required.

Position Requirements

• Education: Associate degree or equivalent experience including 1-2 years in commercial insurance industry Claims Support role.
• Knowledge/Skills/Abilities: Proficient communication skills (oral and written), MS Office Suite, Ability to multitask in a fast-paced environment, Previous Claim Support Role a plus, Excellent customer service skills, Basic knowledge of the insurance industry or technical specialty, Basic knowledge of processing insurance mail, Ability to produce high work volume with precise accuracy.