Claims Processor I

Proctor Loan Protector•Troy, MI

10d•$16 - $17•Onsite

About The Position

The Claims Processor is responsible for claims processing of new and existing claims and all correspondence related to claims. This role requires completing outbound calls to insurance carriers to file claims on behalf of clients, participating in inter/intraoffice discussions and problem solving, and completing timely review and entry of new losses. The Claims Processor will determine if coverage is in place, send documentation to insurance carriers, and follow up with carriers to ensure proper documentation of acknowledgements, determinations, and final settlements. Additionally, this role involves reviewing all determinations, discussing them with carrier adjustors or TPAs, and maintaining SOPs for all claims processes. The Claims Processor will apply an understanding of insurance policies and policy interpretation to assist clients and carriers with claim settlement, assist Account Service Managers, Producers, and Clients with claims questions or issues, and escalate complex claim questions to VP Lender Services and Placement. Claims reporting to Account Service Managers, Producers, Clients, and Loan Protector Leadership is also a key responsibility. The role requires maintaining an average productivity percentage of 70%.

Requirements

High School diploma required.
Strong written and oral communication skills.
Experience with Insurance Agency Management System (Applied or AMS).
Experience with Microsoft Office Suite.
Excellent time management skills.
Detail oriented.
Technical learning with strong desire to learn and acquire new skills.
Ability to adapt to a changing environment and handle multiple priorities to meet deadlines.
Ability to multitask.
Ability to work independently as well as in a team environment.

Nice To Haves

Prior insurance, insurance claims, or insurance agency processing a plus.
Associate or bachelor’s degree preferred.

Responsibilities

Complete outbound calls to insurance carriers to file claims on behalf of clients.
Participate in inter/intraoffice discussions and problem solving.
Complete timely review and entry of new losses.
Determine if coverage is in place and send documentation to insurance carriers.
Follow up with carriers to ensure proper documentation of acknowledgements, determinations and final settlements.
Review all determinations and discuss with carrier adjustors or TPAs.
Maintain SOPs for all claims processes.
Applies understanding of insurance policies and policy interpretation in order to assist clients and carriers with claim settlement.
Assist Account Service Managers, Producers, and Clients with claims questions or issues.
Escalate complex claim questions to VP Lender Services and Placement.
Complete claims reporting to Account Service Managers, Producers, Clients and Loan Protector Leadership.
Maintain an average productivity percentage of 70%.