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Captive Resources, LLC · 11 hours ago

Claims Service Specialist

Itasca, Illinois, United States

Full-time

Onsite

Senior Level

5+ years exp

Captive Resources, LLC is seeking a Claims Service Specialist to support the Claims Services Managers in ensuring member claim service satisfaction. The role involves acting as a liaison between members and brokers, addressing inquiries, and maintaining organized records while collaborating with various teams to enhance the claims process.

Insurance

Growth Opportunities

Responsibilities

Act as a liaison between the member, broker and the claims administrator on claim and customer service matters

Regularly engage with clients to address questions and opportunities and ensure a transparent and supportive communication channel throughout the claims process

Proactively identify potential issues within claims, working diligently to resolve concerns and prevent escalations

Collaborate with internal and external teams to define and address member needs

Maintain accurate and organized records of activities, outlining ongoing client communication, history of escalations and opportunities. Prepare detailed reports for review and analysis

Coordinate member / broker calls to ensure all claim and captive related questions and concerns are addressed

Closely collaborate with the Claims Services Manager (CSM) and Captive Executive, when necessary to ensure a cohesive response and prioritization of the issue at hand

Actively meet with CSM to provide various updates and deliver a coordinated support of member’s needs

Backup the Claims Services Managers (CSM’s) specifically with client claim review telephonic conference calls on assigned

Guide conference calls with service providers and clients to ensure a smooth and productive claim review takes place

Complete periodic claim audits to monitor service levels and compile and review results with CSM

Compile and distribute Large Loss Notices to captive CSMs and Captive Executives when necessary

Assist with new member onboarding

Qualification

Claims handling experienceCustomer service orientationAnalytical skillsCommunication skillsMulti-taskingClient facing roleOrganizational skillsTeamworkProblem solving

Required

Bachelor's Degree or equivalency in a related discipline

At least five (5) years of claim handling experience and claims customer service

Direct client service experience in commercial claims either through face-to-face or telephonic interactions

Strong customer service orientation

Organization, planning, and prioritization expertise with strong skills in multi-tasking and follow-up

Works well independently and in a team environment

Excellent written and verbal communication skills

Comfortable in a client facing role

Strong analytical, problem solving, judgment, and communication skills

Willingness and ability to travel domestically at a minimal amount as required

Company

Captive Resources, LLC

For four decades, Captive Resources has provided mid-market companies the ability to become insurance company owners rather than insurance buyers and to lower their total cost of risk.

Founded in 1986

Itasca, Illinois, USA

201-500 employees