Claims Intake Specialist

CACI•Chantilly, VA

11d•Onsite

About The Position

The Claims Intake Specialist will serve as the first point of contact for individuals filing insurance claims, assisting clients in collecting and verifying essential claim information. This role will ensure accurate documentation, facilitate the intake process, and maintain a high level of customer service throughout the claims handling. The Claims Intake Specialist will be responsible for processing claims efficiently, collaborating with team members, and ensuring that all necessary documentation is obtained to initiate the claims process.

Requirements

2+ years claims and/or Government HR experience
Demonstrated ability to work independently and collaboratively in a team environment.
Strong attention to detail with the ability to follow instructions and maintain accuracy
Excellent written and verbal communication skills
Ability to maintain a service-oriented attitude and build positive relationships
Strong organizational skills, with the ability to handle multiple tasks and deadlines
Ability to sit for extended periods and work at a computer for prolonged durations
Proven ability to handle and maintain the confidentiality of sensitive information and materials.
Extensive customer service experience with a strong focus on professionalism and responsiveness.
Proficiency in Microsoft Office Suite or similar productivity software.
Comfortable working in CRM or case-management systems and learning new technology.

Nice To Haves

Prior experience in Workers Compensation claims, insurance agency operations, and/or the insurance industry is a plus
Familiarity with medical and insurance terminology
Exposure to compliance or regulatory standards within insurance claims

Responsibilities

Review incoming claim submissions for completeness and accuracy.
Enter claim details into the claims management software system.
Ensure all required documentation is included.
Respond to calls and emails from insureds or claimants regarding claims submission.
Provide status updates on claims to insured, claimants, and agents.
Verify information against the insured and resolve discrepancies as needed.
Accurately input data from claims into internal systems and update records regularly.
Maintain detailed and organized records to support timely claim resolution.
Collaborate with team members to meet daily processing goals.
Highlight any trends or workflow bottlenecks in the claim’s intake process.
Assist with the preparation of claim reports and analysis to improve the intake process.
Participate in team meetings or training sessions to stay updated on policy changes and system updates.
Provide feedback to improve the claims intake process and workflow.
Troubleshoot incomplete or incorrectly submitted claims.
Contact claimants or third parties to gather missing information.