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Church Mutual Insurance Company, S.I. · 1 day ago

Claim Operations Coordinator

Merrill, WI

Full-time

Onsite

New Grad, Entry Level

Church Mutual Insurance Company, S.I. is a provider of insurance services, and they are seeking a Claim Operations Coordinator to perform claim-related administrative duties throughout the claim’s life cycle. The role involves triaging claims, processing financial transactions, and ensuring compliance with state requirements and corporate standards.

AssociationGovernmentNon Profit

Responsibilities

Triage and assign claims to Adjusters following the Line of Business segmentation guidelines and assignment rules

Enter and confirm payments made are in line with the contracted services. Identify and escalate when invoicing is unusual or off budget

Act as a subject matter expert to develop operational and compliance related procedures, standard work, and processes as requested

Timely and accurately investigate, distribute and process misdirected electronic information and mail received from internal and external sources to the appropriate unit, individual, or company

Monitor electronic queues and shared inboxes to ensure work is being performed within service levels and according to quality guidelines. Electronic queues may include those used with TPA (third-party administrators) integrations and payments

Issue authorized and approved expense and loss payments in the claim system as instructed and document the electronic file as necessary ensuring payments are coded accurately

Assist in the maintenance of multiple applications, systems, and portals to support the Claim Department

Perform compliance related tasks as assigned to support compliance research, initiatives or the development of compliance job aids and guidelines

Complete general administrative tasks and other work duties as assigned