Claims Support Specialist (Remote)

Davies • Home, WV

2d • $18 - $21 • Remote

About The Position

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

We are on the lookout for an experienced Claims Support Specialist who will provide administrative support for Davies Life & Health (DLH) Lloyds block of business in the processing and management of insurance claims. You will be responsible for managing client data and reports, verifying information for new claim submissions, maintaining claim systems, and assisting in the preparation and review of client reports.

In addition, you be assisting with the administration of medical reimbursement claims, and will also provide support for claim adjusters and managers in the claim evaluation process by preparing form packets, gathering and verifying proof of loss documentation, handling client communication, and ensuring accurate records in compliance with company procedures and regulatory requirements.

Requirements

• High school diploma/GED with some claim-related or industry experience (e.g., long-term care, disability insurance) preferred, or equivalent combination of education and experience
• Experience with medical reimbursements for accidents
• Excellent communication skills
• Strong attention to detail and organizational skills
• Self-motivated with the ability to work independently and take initiative
• Strong follow-through and ability to manage processes holistically
• Proficiency in Excel (i.e. formulas, filters, and data comparisons)

Responsibilities

• Verify and manage client data in IDEAS (claim administration system)
• Set up and manage claim billing in TSheets, including changes, accounting notices, and split bill notifications for multiple clients
• Complete funding allocation spreadsheets and manage off-cycle invoice processing
• Assist with preparation of Bordereaux (BDX) reports containing both claim and financial data
• Conduct sanctions checks for international claims
• Run weekly, monthly, and quarterly IDEAS reports for management review
• Manage client data distribution lists and support ad hoc/periodic client report requests
• Maintain complaint logs for client reporting
• Prepare and send initial claim forms packets and notifications emails to clients
• Assist in administration of major medical, student accident, and/or long-term duration disability claims
• Enter monthly expenses for investigative and medical records fees approved by claim adjusters
• Gather and review proof of loss
• Assess benefit eligibility and process benefit payments
• Manage client communications/claim report updates as needed
• Provide timely and thorough communication to clients and insureds
• Support ongoing handling of disability with long-term or repetitive pay duration
• Process eligible benefits
• Obtain, review, and verify periodic proof of loss
• Maintain client communications and claim report updates

Benefits

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
• Paid holidays
• Life insurance and short‑term and long‑term disability coverage

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees