Claims Operations Specialist

Kinsale Management•Richmond, VA

About The Position

Kinsale Insurance is seeking a detail-oriented Claims Operations Specialist to support its Claims team. The role maintains accurate claim files, data, and workflows while working alongside experienced claims professionals and leadership. It offers exposure to the full claim lifecycle, from first notice of loss through closure, and may provide a pathway to a Claims Examiner career with the right skills and aptitude. The specialist handles administrative claims support, claim-data accuracy, inbox and service-desk requests, document management, payment and invoice processing, catastrophe-event communications, tracking tools, and reporting. The position also uses AI tools to improve workflows, flags recurring errors and repetitive tasks, and helps test system changes. A credit check will be conducted as part of selection for roles requiring sound judgment, trustworthiness, or access to sensitive information.

Requirements

  • Associate's or bachelor's degree, or 2+ years of relevant experience.
  • Proficiency in Outlook, Excel, and SharePoint, including working with Excel tables and VLOOKUPs.
  • Strong attention to detail and organizational skills, with a high level of accuracy in data entry and documentation.
  • Initiative and ability to manage multiple priorities and deadlines with a collaborative, team-oriented mindset.
  • Clear written and verbal communication skills.
  • Sound judgment when handling confidential information.

Nice To Haves

  • Working knowledge of property and casualty coverages, policy terminology, and the claims lifecycle.
  • Interest in obtaining an adjuster license where required by the state.
  • Familiarity with generative AI tools such as Claude or ChatGPT and how they can support everyday administrative and data tasks.

Responsibilities

  • Set up and route new claims received through the claims mailbox and live calls; verify policy and coverage details against underwriting records and assign claims to teams based on type, severity, jurisdiction, and workload.
  • Manage department inboxes and the online service desk, triaging and responding to internal requests, including invoice processing and mailings.
  • Index, organize, and upload correspondence, photos, reports, invoices, and legal documents; maintain accurate and current file notes, diary dates, and claim data in accordance with company policies for PII, PHI, and other confidential data.
  • Support examiners and department leadership with document requests, file follow-ups, and daily workload prioritization; answer routine procedural and system questions.
  • Process payment requests and invoices within authority limits and maintain vendor and payee information.
  • Manage catastrophe event bulletins and distribute information to relevant teams.
  • Maintain department tracking tools and logs; correct incomplete, inconsistent, or miscoded claims identified in exception reports.
  • Prepare monthly, ad hoc, regulatory, and audit reports for claims management, finance, underwriting, and reinsurance.
  • Use AI tools to enhance workflows and assist with data extraction; flag recurring errors and repetitive tasks to leadership and help test system changes.

Benefits

  • Competitive pay and bonus opportunities.
  • Health, dental, and vision insurance.
  • Annual HSA contributions of up to $3,600 for individual coverage or $7,000 for family coverage.
  • 22 days of PTO and 10 paid company holidays.
  • Clear promotion paths, mentorship, and ongoing professional development.
  • 401(k) matching contributions of up to 6% on base salary and bonus.
  • Standard life insurance and disability coverage.
  • Annual $3,000 reimbursement for educational training and certifications.
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