Job Description

Agency Claims Specialist

Job Summary

Seeking a dedicated and detail-oriented Agency Claims Specialist to join a dynamic team. This role involves working closely with customers, agencies, and internal teams to process and manage claims efficiently while delivering an outstanding customer experience. The ideal candidate is a problem solver with excellent communication and organizational skills and thrives in a collaborative and fast-paced environment.

Responsibilities

• Review, evaluate, and process agency claims in accordance with company policies, procedures, and standards.


• Serve as the primary point of contact for claims-related inquiries, ensuring timely and accurate communication with clients and stakeholders.


• Conduct detailed assessments of claims documentation to determine accuracy, compliance, and validity.


• Collaborate with internal teams such as underwriting, legal, and customer service in resolving disputes or escalations.


• Maintain thorough and up-to-date records of claim activity using internal systems and tools.


• Identify trends and potential areas of process improvement to enhance efficiency and service quality.


• Provide support and guidance to clients during the claims process, ensuring transparency and professionalism throughout.


• Stay informed on industry regulations, best practices, and emerging trends related to claims management.

Qualifications/Requirements

• Bachelor's degree in business, insurance, finance, or related field, or equivalent experience.


• Proven experience as a Claims Specialist, Agency Claims Manager, or similar role in the claims/insurance industry.


• Strong analytical and decision-making skills with a meticulous attention to detail.


• Excellent verbal and written communication skills with the ability to explain complex processes to clients and stakeholders.


• Proficiency in claims management software and systems; familiarity with industry-specific tools is a plus.


• Exceptional organizational and multitasking abilities to manage competing priorities and tight deadlines.


• Ability to work independently as well as collaboratively as part of a team in a fast-paced environment.


• Certification in claims handling or related areas is a bonus (e.g., AIC, CPCU).

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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