Claims Operations Associate

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.

As a member of our Claims Operations team, you are responsible for supporting the claim department in a variety of capacities. Responsibilities can span the life cycle of a claim from intake of First Notice of Loss, payments, corrections through claim systems, responding to inquiries from internal and external parties and other related tasks through closure of a claim. Effective interaction with Coaction's customers, brokers, and colleagues is a crucial aspect of this position. Acting as a representative for Claim Operations, anticipating requirements, maintaining transparent communication, and adeptly managing issues are vital elements for achieving success in this role.

Responsibilities May Include

• Collect initial details of first notice of loss for system processing, both electronically and via phone.
• Handle end to end set up of First Notice of Loss including, but not limited to, inputting data into various claims systems, initiating outbound calls when additional information is needed, establishment of features; coverage selection and coordination of assignment to adjuster
• Manage incoming claim phone lines, addressing caller inquiries regarding payments, status updates and other claim related inquiries.
• Support claim handler requests. This includes outbound calls relative to claim status.
• Process expense payments associated with claims and allocate bulk payments to individual claim files.
• Monitor failure queues and take necessary remedial action, such as handling claim correspondence/system generated letters.
• Support Medicare reporting process by gathering and entering pertinent information into appropriate systems.
• Adhere to all service level agreements including but not limited to quality and timeliness of various tasks
• Collaborate closely with the Claim Operations leadership to evaluate insights, proactively identify areas of improvement and advocate for processes enhancements.
• Work with IT and other company personnel to address errors / system upgrades / testing.
• Assist with other special projects as needed.
  
  
  

Qualifications

• Strong communication and people skills with the ability to interact effectively with internal and external customers including positive attitude and willingness to do what it takes to deliver exceptional results.
• Problem solver, thinks, proactive, assertive nature ensuring issues are resolved effectively, timely, and with confidence
• Excellent organizational skills and attention to detail, ability to multi-tasks effectively with ease, speed, and accuracy
• Strong time management skills, including prioritization and task delegation, can help meet deadlines and manage workload effectively in a fast-paced environment.
• Proficiency in resolving conflicts and handling difficult situations can help maintain positive relationships with customers and colleagues.
• Prior claim customer service experience and/or bilingual a plus
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and ImageRight
  
  
  

Equal Opportunity Employer

Coaction is an Equal Employment Opportunity employer. Coaction’s policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories.

If your application is selected, you will receive an email directly from the Coaction Recruiting Team at coaction@myworkday.com asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.