Claims Operations Associate jobs in United States
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Coaction Global · 4 hours ago

Claims Operations Associate

Coaction Global is a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset. As a member of the Claims Operations team, you will support the claim department in various capacities throughout the life cycle of a claim, ensuring effective communication with customers and colleagues while managing inquiries and processing claims.

Commercial InsuranceFinanceFinancial ServicesInsuranceInsurTechProperty Insurance
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Comp. & Benefits

Responsibilities

Collect initial details of first notice of loss for system processing, both electronically and via phone
Handle end to end set up of First Notice of Loss including, but not limited to, inputting data into various claims systems, initiating outbound calls when additional information is needed, establishment of features; coverage selection and coordination of assignment to adjuster
Manage incoming claim phone lines, addressing caller inquiries regarding payments, status updates and other claim related inquiries
Support claim handler requests. This includes outbound calls relative to claim status
Process expense payments associated with claims and allocate bulk payments to individual claim files
Monitor failure queues and take necessary remedial action, such as handling claim correspondence/system generated letters
Support Medicare reporting process by gathering and entering pertinent information into appropriate systems
Adhere to all service level agreements including but not limited to quality and timeliness of various tasks
Collaborate closely with the Claim Operations leadership to evaluate insights, proactively identify areas of improvement and advocate for processes enhancements
Work with IT and other company personnel to address errors / system upgrades / testing
Assist with other special projects as needed

Qualification

Claims processingCustomer serviceMicrosoft Office SuiteOrganizational skillsTime managementBilingualProblem solvingConflict resolution

Required

Strong communication and people skills with the ability to interact effectively with internal and external customers including positive attitude and willingness to do what it takes to deliver exceptional results
Problem solver, thinks, proactive, assertive nature ensuring issues are resolved effectively, timely, and with confidence
Excellent organizational skills and attention to detail, ability to multi-tasks effectively with ease, speed, and accuracy
Strong time management skills, including prioritization and task delegation, can help meet deadlines and manage workload effectively in a fast-paced environment
Proficiency in resolving conflicts and handling difficult situations can help maintain positive relationships with customers and colleagues
Prior claim customer service experience and/or bilingual a plus
Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and ImageRight

Benefits

Paid time off
Medical
Dental
Retirement

Company

Coaction Global

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Coaction Global (Coaction) is an A.M. Best “A-“ (Excellent)-rated, property and casualty (P&C) insurance company.

Funding

Current Stage
Public Company
Total Funding
$200M
2023-09-07Private Equity· $200M
2021-08-04Private Equity
2021-01-15Acquired

Leadership Team

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Jonathan Ritz
Chief Executive Officer
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Ellen Edmonds
Chief Actuarial Officer
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Company data provided by crunchbase