Claim Operations Specialist
Core
Partner with claim professionals to assist customers with claim resolution, financial transactions, and data management.
Role type
Entry-level claim operations specialist
Builds
Claim files, payment documents, and operational reports
Domain
Insurance / Property Casualty
Deliverable
client delivery
Required skills
Customer service, financial transaction processing, data entry, report generation, document scanning and sorting, mail processing, basic computer literacy (Microsoft Office, database software)
Preferred skills
Analytical thinking, change management resilience, judgment and decision making, relationship management
Responsibilities
Triage and route customer calls, answer claim status and payment questions, document claim files and review medical/wage statements, process claim payments and vendor invoices, prepare claim documents for legal/medical review, manage incoming/outgoing mail, generate operational reports, perform financial controls and data reconciliations
Seniority
Entry-level, individual contributor