Claims Administrator - Hybrid (3 days in the office)

Swiss ReFort Wayne, IN
6d$49,000 - $81,000Hybrid

About The Position

Are you detail-oriented with a knack for problem-solving? Join our dynamic Claims team where you'll play a crucial role in ensuring our clients receive exceptional service during their time of need. This position offers an excellent opportunity to build your career in the reinsurance industry with a global leader.   About the Role As a Claims Administrator, you'll be at the forefront of our client service operations, handling the administration of straightforward claims according to our complexity guidelines. You'll manage reinsurance claims for individual or group life, health products, and related retrocession treaties for your assigned portfolio.

Requirements

  • 1–3 years of relevant work experience working at the large organization in insurance, financial services, accounting, or OPS fields
  • You are comfortable with processes, controls and cross-functional work style with strong foundational technical skills
  • Strong proficiency in Microsoft Suite, especially Excel, Outlook, and Teams and AI products
  • You are comfortable navigating structured workflows and KPI's
  • Strong communication skills (verbal and written)
  • You have a degree in Business Administration, Finance, Risk Management, Analytics, or other STEM

Responsibilities

  • Process and evaluate incoming claim documentation to determine appropriate next steps and record financial liabilities in a timely manner
  • Identify and escalate more complex or legally sensitive claims to specialized teams for handling
  • Determine coverage for straightforward claims by analyzing policy terms and conditions
  • Collaborate with financial teams to gather information and resolve coverage questions
  • Verify accuracy of policy and client data in our systems for new claim notifications
  • Prioritize and route incoming communications based on urgency and complexity
  • Research and calculate total financial exposure by running appropriate reports and analyzing results
  • Confirm premium payment to ensure proper liability reporting and claim handling
  • Screen claimant information against regulatory compliance databases
  • Communicate professionally with clients to address questions and provide claim status updates
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