Claims Representative Jobs

About The Position

Requirements

• Strong attention to detail and ability to complete tasks with accuracy
• Effective written and verbal communication skills, especially when interacting with beneficiaries during sensitive situations
• Ability to follow established procedures and meet deadlines under supervision
• Basic proficiency in using Microsoft Office (e.g., Outlook, Word, Excel) and other internal systems
• Dependability and consistency in handling repetitive or routine tasks
• Detail-oriented, organized, and comfortable following clearly defined procedures
• Effective communication, both in writing and over the phone
• Ability to manage sensitive interactions with professionalism and care
• Basic computer skills
• Willingness to learn
• Ability to thrive in a structured environment where you can contribute to a team and build foundational knowledge in insurance claims processing

Nice To Haves

• Prior experience in a customer service or administrative role
• Exposure to claims processing systems (e.g., LSP, Phoenix, Fineos, Accurint, and Microsoft Office applications)
• Familiarity with using AI-enhanced tools or features to support routine tasks

Responsibilities

• Reviewing and organizing incoming documentation
• Verifying claim details in internal systems
• Communicating with beneficiaries to request any missing or incomplete forms
• Providing status updates to claimants and internal stakeholders
• Following established workflows
• Ensuring that records are accurately entered and maintained in the claims management system
• Escalating any unclear or complex cases to senior team members
• Assisting with general administrative tasks as needed to support team efficiency

Benefits

• Leave programs
• Adoption assistance
• Student loan repayment programs