Claims Operations Associate

Coaction Specialty Insurance Group•Morristown, NJ

About The Position

At Coaction, the Claims Operations Associate is a member of the Claims Operations team, responsible for supporting the claim department in various capacities. This role spans the entire life cycle of a claim, from the intake of First Notice of Loss, processing payments and corrections through claim systems, to responding to inquiries from internal and external parties, and other related tasks through claim closure. Effective interaction with Coaction's customers, brokers, and colleagues is crucial. The associate acts as a representative for Claim Operations, anticipating requirements, maintaining transparent communication, and adeptly managing issues to achieve success in the role.

Requirements

Strong communication and people skills with the ability to interact effectively with internal and external customers including positive attitude and willingness to do what it takes to deliver exceptional results.
Problem solver, thinks, proactive, assertive nature ensuring issues are resolved effectively, timely, and with confidence.
Excellent organizational skills and attention to detail, ability to multi-tasks effectively with ease, speed, and accuracy.
Strong time management skills, including prioritization and task delegation, can help meet deadlines and manage workload effectively in a fast-paced environment.
Proficiency in resolving conflicts and handling difficult situations can help maintain positive relationships with customers and colleagues.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and ImageRight.

Nice To Haves

Prior claim customer service experience
Bilingual

Responsibilities

Collect initial details of first notice of loss for system processing, both electronically and via phone.
Handle end to end set up of First Notice of Loss including, but not limited to, inputting data into various claims systems, initiating outbound calls when additional information is needed, establishment of features; coverage selection and coordination of assignment to adjuster.
Manage incoming claim phone lines, addressing caller inquiries regarding payments, status updates and other claim related inquiries.
Support claim handler requests. This includes outbound calls relative to claim status.
Process expense payments associated with claims and allocate bulk payments to individual claim files.
Monitor failure queues and take necessary remedial action, such as handling claim correspondence/system generated letters.
Support Medicare reporting process by gathering and entering pertinent information into appropriate systems.
Adhere to all service level agreements including but not limited to quality and timeliness of various tasks.
Collaborate closely with the Claim Operations leadership to evaluate insights, proactively identify areas of improvement and advocate for processes enhancements.
Work with IT and other company personnel to address errors / system upgrades / testing.
Assist with other special projects as needed.