Claims Assistant

Venbrook•San Jose, CA

2d•$24 - $26

About The Position

We are looking for a Claims Assistant to support our professional claims team within Venbrook Claims Services. In this role, you will perform essential administrative and clerical functions that keep claim files organized, communications timely, and daily operations running smoothly. This is an excellent opportunity for someone looking to build a career in the claims and insurance industry within a nationally recognized TPA organization.

Requirements

Attention to Detail: Consistently produces accurate, complete work product. Catches errors in claim file documentation, payment processing, and correspondence before they escalate. Takes ownership of data integrity across all assigned files.
Organization & File Management: Maintains orderly claim files in accordance with department procedures. Manages competing priorities effectively, meets deadlines, and keeps multiple active files current without dropping details.
Communication Skills: Communicates clearly and professionally in written and verbal form. Conveys claim status, coverage information, and next steps to insureds, claimants, and internal stakeholders accurately and accessibly.
Customer Service Orientation: Approaches every interaction with professionalism and empathy. Responsive to inquiries from internal and external clients, understands urgency in a claims environment, and is committed to a positive experience for all parties.
Process Adherence & Reliability: Follows established claims handling guidelines, best practices, and compliance requirements consistently. Understands the importance of procedure in a TPA environment and executes with discipline.
Team Collaboration: Supports claims staff proactively and engages as a dependable team member. Willing to assist where needed, takes direction well, and contributes to a positive team dynamic.
Adaptability: Thrives in a fast-paced claims environment where priorities shift. Adjusts approach as caseloads, client requirements, or operational needs evolve without losing focus or quality.
Proficient in Microsoft Office Suite, with strong Excel skills
Typing speed of at least 50 WPM with 95% accuracy
Strong written and verbal communication skills
High attention to detail and accuracy in data entry and documentation
Ability to manage multiple tasks and priorities in a fast-paced environment
Professional demeanor when interacting with insureds, claimants, and clients
High school diploma or GED required
Minimum of one year of clerical, administrative, or customer service experience required

Nice To Haves

Familiarity with claims management systems or TPA platforms preferred
Prior experience in a claims, insurance, or TPA environment strongly preferred
Familiarity with property and casualty insurance concepts is a plus
Associate's or Bachelor's degree preferred

Responsibilities

Set up new claim files following department procedures and established best practices.
Process claims payments and handle special mail requests accurately and on time.
Communicate with insureds and claimants using claim file documentation as the basis for all correspondence.
Provide basic claim status and coverage information to internal and external stakeholders.
Assist with preparation of monthly and quarterly client and management reports.
Maintain professional liability manuals and ensure reference materials remain current.
Support claims adjusters and supervisors with administrative tasks as assigned.
Perform general clerical functions including data entry, filing, scanning, and correspondence.
Adhere to all Venbrook Claims handling guidelines, compliance standards, and client-specific requirements.
Participate in team priorities and take initiative to support department goals.