Client Claims Associate

Nichols Cauley•Johns Creek, GA

About The Position

NICHOLS CAULEY IS A LEADING INTEGRATED FINANCIAL SERVICES PLATFORM RECOGNIZED AMONG THE TOP 100 FIRMS BY INSIDE PUBLIC ACCOUNTING. WE ARE HONORED TO BE NAMED ONE OF ACCOUNTING TODAY’S BEST FIRMS TO WORK FOR AND BEST FIRMS FOR YOUNG ACCOUNTANTS, REFLECTING OUR COMMITMENT TO PROFESSIONAL EXCELLENCE, CAREER DEVELOPMENT, AND A COLLABORATIVE, SUPPORTIVE CULTURE. THROUGH OUR MANAGE. PROTECT. GROW. APPROACH, WE PROVIDE CLIENTS WITH COORDINATED EXPERTISE ACROSS TAX, ASSURANCE, OUTSOURCED ACCOUNTING, INSURANCE, TRANSACTION ADVISORY, AND STRATEGIC CONSULTING SERVICES. BY STRATEGICALLY INVESTING IN TECHNOLOGY, AUTOMATION, AND AI-DRIVEN INNOVATION TO ENHANCE CLIENT SERVICE AND EMPOWER OUR TEAM MEMBERS TO DO THEIR BEST WORK. AT NICHOLS CAULEY, YOU’LL FIND AN ENVIRONMENT WHERE RELATIONSHIPS MATTER, INNOVATION IS ENCOURAGED, AND LONG-TERM SUCCESS IS A SHARED GOAL. IF YOU’RE SEEKING A REWARDING CAREER WITH AN ORGANIZATION DEDICATED TO YOUR GROWTH, DEVELOPMENT, AND FUTURE SUCCESS, WE ENCOURAGE YOU TO APPLY AND JOIN OUR TEAM. THE CLIENT CLAIMS ASSOCIATE IS A DETAIL-ORIENTED, CUSTOMER-FOCUSED ROLE WITHIN NICHOLS CAULEY'S PARTNERS RISK SERVICES (PRS) PRACTICE, CENTRAL TO THE FIRM'S CLAIMS MANAGEMENT OPERATIONS. THIS POSITION SERVES AS A LIAISON BETWEEN CLIENTS, CARRIERS, AND INTERNAL TEAMS, MANAGING THE FULL LIFECYCLE OF INSURANCE CLAIMS FROM INITIAL NOTIFICATION THROUGH RESOLUTION. THIS ROLE ENSURES TIMELY AND ACCURATE CLAIMS PROCESSING WHILE MAINTAINING THE HIGHEST STANDARDS OF CLIENT SERVICE, WORKING CLOSELY WITH CARRIERS AND COLLEAGUES ACROSS THE PRACTICE TO PROTECT CLIENT INTERESTS AND SUPPORT NICHOLS CAULEY'S MANAGE. PROTECT. GROW. APPROACH.

Requirements

High school diploma or equivalent.
1-3 years of claims processing or insurance customer service experience.
Proficiency with insurance agency management systems (AMS360 preferred) and Microsoft Office.
Strong written and verbal communication skills.
Ability to multitask and prioritize in a fast-paced environment.
Attention to detail and strong organizational skills.
Professional demeanor and commitment to client satisfaction.
Strong problem-solving and analytical skills, with sound professional judgment in handling sensitive or confidential information.

Nice To Haves

Experience with commercial or property & casualty insurance claims.
Familiarity with carrier portals and insurance terminology.
A track record of customer service excellence with measurable results.
Bilingual capabilities (Spanish/English).
Basic understanding of commercial insurance policy coverage.
Certification or pursuit of the AIC (Associate in Claims) designation.

Responsibilities

Receive and log incoming claims from clients and carriers.
Input claim information into the agency management system (AMS) and carrier portals.
Prepare and submit required claim documentation to insurance carriers.
Track claim status and maintain organized claim files, both digital and physical.
Process claim payments and coordinate reimbursements to clients.
Respond to client inquiries regarding claim status and coverage questions.
Serve as the primary point of contact for assigned claims, providing regular updates.
Communicate with insurance carriers to expedite claim processing.
Document all client interactions and correspondence.
Address client concerns professionally and escalate complex issues when needed.
Review policies to verify coverage applicability and limitations.
Identify potential coverage gaps or exclusions.
Prepare clear explanations of coverage determinations for clients.
Assist with denial management and appeal processes.
Maintain thorough claim documentation for audit and compliance purposes.
Meet established turnaround times for claim acknowledgment and resolution.
Maintain accurate records and ensure data integrity across all systems.
Assist with month-end and year-end claim reconciliation.
Support compliance with regulatory requirements and carrier guidelines.
Participate in training programs and stay current on industry changes.