Claims Support Specialist
Core
First point of contact for claims triage, handling phone inquiries, and managing the initial assessment and assignment of claims to ensure timely and appropriate handling.
Role type
Claims Support Specialist
Builds
Efficient claims handling workflows and customer service outcomes
Domain
Insurance / Claims Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Claims triage, claims management, phone inquiry handling, risk identification, regulatory compliance, system navigation, Microsoft Office proficiency
Preferred skills
Guidewire experience, claims investigation support, referral management, continuous improvement initiatives, catastrophe event support
Technologies
Guidewire, Microsoft Office (Word, Excel, Outlook, Teams), claims and workflow management systems
Responsibilities
Serve customers through effective claims management and phone inquiries; assist with investigations and referral management; identify and escalate risks; ensure accurate documentation and regulatory compliance; set up, assess, and assign claims across departments; monitor and prioritize referrals from regional queues; communicate with stakeholders regarding claim status; participate in continuous improvement initiatives; perform administrative support tasks.
Seniority
Mid-level, hands-on IC