Claims Support Specialist II

TEKsystemsJohnstown, PA
$15 - $16Onsite

About The Position

Under moderate supervision, performs basic claims/zone support activities. This role involves performing support and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail, and supporting third-party vendor relationships and processes. The specialist will also order supplies, schedule/coordinate meetings, and greet/direct visitors. A key aspect of the role is providing inbound and outbound phone support and customer service to policyholders, claimants, and agents, prioritizing customer service in all interactions. Support during weather events, including CAT loss reports, is also expected. The position offers support in various disciplines such as material damage, property, liability, subrogation, workers compensation, medical, and litigation. Responsibilities include preparing and processing documents, handling confidential claim file information, and conducting follow-up calls. The role requires applying a working knowledge of policies and procedures, verifying claims information, offering initial services, and assisting personnel with accessing and verifying policyholder information. Follow-ups will be set for completion of support activities, and inquiries from various parties including adjusters, policyholders, agents, independent adjusters, and claimants will be responded to or referred as required. Entering new loss report information and updating claims documentation are also part of the duties.

Requirements

  • Under moderate supervision, performs basic claims/zone support activities.
  • Applies a working knowledge of policies and procedures.

Responsibilities

  • Performs support and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor relationships and processes.
  • Orders supplies and schedules/coordinates meetings.
  • Greets and directs visitors to appropriate personnel.
  • Provides inbound and outbound phone support and customer service to all customers including policyholders, claimants, and agents, and handles all inquiries with customer service as a priority.
  • Provides customer service support during weather events including CAT loss reports and other CAT support duties.
  • Provides support in various disciplines including material damage, property, liability, subrogation, workers compensation, medical, and litigation.
  • Assists with various activities including preparing and processing documents, preparing time sensitive and confidential claim file information on a routine basis.
  • Assist with follow up calls and other claim file support as needed.
  • Greets, screens and directs visitors to appropriate personnel.
  • Applies a working knowledge of policies and procedures, verifies and provides claims information, and offers initial services.
  • Assists personnel with various activities including accessing and verifying policyholder information.
  • Sets follow ups as appropriate for completion of support activities.
  • Responds to inquiries from customers, including but not limited to, adjusters, Policyholders, Agents, independent adjusters and claimants and/or refers to others as required.
  • Handles all inquiries with customer service as a priority.
  • Enters new loss report information and updates claims documentation.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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