Claims Specialist

TEKsystems•Englewood Cliffs, NJ

2d•$22 - $25•Onsite

About The Position

The primary objective of the Claims Management Specialist is to support Product Safety/Product Liability Department with operational activities including Direct Claim handling customer contact admin support and overall claims management. The goal of the Claims Operations Specialist is to support the Product Safety Team by handling Claims with professionalism care and urgency making sure claims are reported and being handled in a timely manner. To achieve the highest performance the person in this position is expected to maintain effective and timely communication with key customers claims adjusters stakeholders and leaders within the department team and cross-department where applicable.

Requirements

3-5 years of hands-on claims management customer care experience
Expertise in MS Excel and PPT
Proven capability to analyze data and develop a course of action
Proven ability to prioritize and manage multiple projects meet deadlines and drive to resolution
Process procedure strategic planning and project development experience
Experience working with and influencing cross-functional teams.
Experience working in a complex and wide organization and department
Analyze make judgments decisions and recommendations for ongoing and new projects or tasks
Apply critical thinking and imaginative solutions to analyze and present solutions to challenges based on data
Communicate professionally both verbally and through written correspondence
Explain reports and analysis to all levels of the organization
Ability to think analytically and deep attention to detail
Project management skills advantageous
Numbers and processes oriented analytical skills
Initiative and can do attitude Ownership with Initiative
Sense of urgency Flexible self-motivated self-organized self-directed and results-oriented
Customer service focus with excellent relationship management skills
Ability to effectively engage with and facilitate collaboration with diverse groups/stakeholders
Demonstrated ability to interact with peers supervisors managers and se nior management
Team oriented but able to work independently and manage multiple tasks
Able to perform complex quantitative analysis Advanced Excel skills to flag risk and report in timely manner
Capability of storytelling visually and speaking to small groups 5-10 people
3-5 years of hands-on claims management experience
Excellent written/oral communication customer care skills.
Perform quantitative analysis with advanced skill with Excel and PPT
Bachelors Degree or equivalent experience

Nice To Haves

Experience working within the insurance and/or home appliance industry a plus
Experience with product development or testing a plus
Claims Adjuster License a plus

Responsibilities

Collaborate with team members in the Product Safety department PL Insurance Carrier outside law firm and 3rd Party administrators.
Generate daily/weekly/monthly reports with analysis and recommendations
Manage 4-7 ongoing and ad-hoc projects that may include KPIs and Metrics
Ensure that all projects have required documentation as they move through the project tollgates
Communicate to Product Liability leadership on project status and escalation/decision points
Works cross functionally with HQ teams in Korea occasional evening conference call and SEA operations to manage all possible risks.
Pending Claim Management KPI TAT Management - Claim registration to closure
Product Verification
Liability Assessment by reviewing diagnosis results
Reporting on high-profile claims to the leadership