Senior Claims Coordinator
Core
Coordinate the end-to-end insurance claims process from submission to final resolution, including investigation, settlement negotiation, and compliance.
Role type
Senior Claims Coordinator
Builds
Efficient and accurate claims handling workflows
Domain
Insurance / Property & Casualty
Deliverable
client delivery
Required skills
Claims process management, claim investigation, settlement negotiation, regulatory compliance, risk assessment, fraud prevention, stakeholder communication, record administration, cross-functional collaboration
Preferred skills
Associate in Claims (AIC), Certified Claims Professional (CCP), Certified Insurance Service Representative (CISR), Certified Insurance Counselor (CIC)
Responsibilities
Handle end-to-end insurance claims including receiving submissions, reviewing documentation, verifying coverage, and processing payments; Support claims processing and review completed claims for accuracy and compliance; Ensure compliance with insurance regulations, industry standards, and company policies; Resolve escalated or complex claims issues and support decision-making on settlements within authority limits; Identify opportunities to streamline claims processing workflows and improve efficiency; Assess potential risks associated with claims processing and implement measures to mitigate risks and prevent fraud; Interact with policyholders, claimants, and stakeholders to provide assistance and resolve issues; Maintain accurate records of claims, correspondence, and documentation; Collaborate with underwriting, legal, and finance teams to resolve complex claims issues; Support claims investigations to determine validity, gather evidence, interview parties, and coordinate with external agencies.
Seniority
Senior, hands-on IC