Senior Claims Coordinator

Ryan Specialty•Remote - Texas, TX

3d•$22 - $26

About The Position

The Senior Claims Coordinator coordinates the claims process from initial submission through final resolution. The role provides guidance, training, and support to promote efficient and accurate claims handling. Responsibilities include reviewing and processing complex insurance claims, investigating discrepancies, negotiating settlements with clients or third parties, and ensuring compliance with company policies and regulatory requirements.

Requirements

Bachelor’s degree in Legal, Finance, Business Administration, or a related field, with at least 1 year of related experience.
A degree in another related discipline or commensurate work experience may be considered.

Nice To Haves

Associate in Claims (AIC), Certified Claims Professional (CCP), Certified Insurance Service Representative (CISR), or Certified Insurance Counselor (CIC) certification.

Responsibilities

Handle the end-to-end insurance claims process, including receiving claims, reviewing documentation, verifying coverage, and processing payments.
Support claims processing and review completed claims for accuracy and compliance with company policies and regulatory requirements.
Ensure compliance with insurance regulations, industry standards, and company policies throughout claims processing.
Resolve escalated or complex claims issues, support settlement decisions within established authority limits, and recommend solutions for challenging cases.
Identify opportunities to streamline claims workflows, improve efficiency, and enhance the customer experience.
Assess risks associated with claims processing and implement measures to mitigate risks and prevent fraud.
Interact with policyholders, claimants, and other stakeholders by providing assistance, answering inquiries, and resolving claims-related issues.
Maintain and administer accurate claims records, correspondence, and related documentation in compliance with company policies and regulatory standards.
Collaborate with underwriting, legal, and finance teams to gather information and resolve complex claims issues.
Support claims investigations by determining claim validity, gathering evidence, interviewing relevant parties, and coordinating with external agencies or experts.