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Job details
This Jobot Job is hosted by Dana Stark
Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.
Salary $75,000 - $85,000 per year
A Bit About Us
Join our team of passionate insurance professionals, and embark on a rewarding career. Together, we'll make a positive impact, provide exceptional service to our clients, and continuously grow and succeed in the dynamic world of insurance.
Why join us?
100% remote role
Competitive pay with commissions
BCBS Medical and Dental;
100% Company Paid Life Insurance;
100% Company paid Short Term Disability and Long Term Disability;
401(k) with a company match;
Generous time off and holidays.
Job Details
Position Overview
As a Commercial Lines Claims Specialist, you will be responsible for managing and processing insurance claims for both commercial and personal lines policies. You will work closely with policyholders, insurance agents, and other stakeholders to ensure efficient and effective claims resolution. This role requires a strong understanding of insurance policies, excellent communication skills, and the ability to analyze and evaluate claims accurately.
Key Responsibilities
Claim Intake and Documentation
Receive and review new claims, gather all relevant information, and ensure accurate documentation.
Collect policyholder details, incident reports, witness statements, and any other necessary documents.
Enter claim information into the claims management system and maintain organized records.
Investigation and Evaluation
Conduct thorough investigations to determine coverage, liability, and the extent of damages or losses.
Analyze policy terms and conditions, assess policy coverage, and interpret applicable laws and regulations.
Evaluate the validity of claims and make recommendations for claim resolution based on findings.
Communication and Customer Service
Serve as the primary point of contact for policyholders, insurance agents, and other involved parties.
Provide prompt and professional customer service by answering inquiries, addressing concerns, and guiding policyholders through the claims process.
Clearly explain claim decisions, coverage determinations, and settlement offers to all stakeholders.
Claims Processing and Resolution
Adjudicate claims within established authority levels, ensuring compliance with company guidelines and industry standards.
Calculate and negotiate claim settlements based on policy terms, coverage limits, and applicable regulations.
Collaborate with external vendors, such as adjusters and legal counsel, to support claim investigations and settlements.
Documentation and Reporting
Prepare comprehensive claims reports detailing investigation findings, coverage decisions, and settlement outcomes.
Maintain accurate records of all claims-related activities, correspondence, and financial transactions.
Provide regular updates to management, underwriters, and other internal teams on claim status and trends.
Compliance and Quality Assurance
Adhere to regulatory requirements, company policies, and best practices in claims handling.
Conduct quality assurance reviews to ensure accuracy, consistency, and compliance with established procedures.
Identify areas for process improvement and recommend strategies to enhance claims management efficiency and customer satisfaction.
Qualifications And Skills
Previous experience in claims handling within the insurance industry, preferably in both commercial and personal lines.
In-depth knowledge of insurance policies, coverage types, and claims practices.
Strong analytical and problem-solving skills to assess and evaluate claims accurately.
Excellent communication and interpersonal skills to effectively interact with policyholders, agents, and internal stakeholders.
Ability to negotiate settlements and handle complex claim issues with diplomacy and professionalism.
Proficiency in using claims management systems, databases, and Microsoft Office applications.
Detail-oriented mindset with a focus on maintaining accurate records and documentation.
Familiarity with relevant laws, regulations, and industry guidelines governing claims handling.
Strong organizational skills to prioritize tasks, manage multiple claims simultaneously, and meet deadlines.
Commitment to providing exceptional customer service and resolving claims efficiently.
Interested in hearing more? Easy Apply now by clicking the "Apply" button.
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Click our Jobot logo and follow our LinkedIn page!
