Claim Operations Coordinator

Church Mutual Insurance Company, S.I.•Merrill, WI

About The Position

The Claim Operations Coordinator performs administrative duties throughout the claim life cycle for all lines of business and across multiple claims systems. The role provides quality claim service in accordance with state requirements and corporate claim standards. Duties may include claim intake, financial transactions, data collection and entry, and compliance tasks. The coordinator triages and assigns claims, processes and documents authorized payments, monitors electronic queues and shared inboxes, routes misdirected information, and supports claims applications and systems. The role also contributes to operational procedures and compliance activities and performs other administrative duties as assigned. The job description notes that duties may change or include other job-related tasks.

Requirements

High school diploma or equivalent.
Proficient data-entry skills.
Ability to process work using Microsoft Word and Excel.
Self-motivated.
Cooperative, positive attitude.
Ability and willingness to answer calls from internal and external customers and provide service and support.
Time-management skills to manage work independently while following established processes and guidelines.
Ability to collaborate as part of a team.

Nice To Haves

Office, clerical, computer, and/or insurance classes.
Prior work experience in an insurance, customer service, or office environment.

Responsibilities

Triage and assign claims to adjusters according to line-of-business segmentation guidelines and assignment rules.
Enter and confirm payments in accordance with contracted services, identifying and escalating unusual or over-budget invoicing.
Develop operational and compliance-related procedures, standard work, and processes as requested, serving as a subject matter expert.
Investigate, distribute, and process misdirected electronic information and mail promptly and accurately, routing it to the appropriate unit, individual, or company.
Monitor electronic queues and shared inboxes to ensure work meets service levels and quality guidelines, including queues associated with TPA integrations and payments.
Issue authorized and approved expense and loss payments in the claim system as instructed, document electronic files as necessary, and ensure payments are accurately coded.
Assist in maintaining multiple applications, systems, and portals that support the Claim Department.
Perform assigned compliance tasks to support compliance research, initiatives, and the development of job aids and guidelines.
Complete general administrative tasks and other duties as assigned.
Answer calls from internal and external customers and provide the required service and support.