Claims Administrative Support Commercial Insurance

Claims Administrative Support - (Commercial Insurance)

First Notice of Loss Intake

• Review of First Notice of Loss Work Items in the Claims Workbench (intake system).
• Review and validation of AI extracted and generated content validated against the Work Items original email content.
• Editing of AI extracted data and generated content within the Claims Workbench to confirm to business requirements.
• Automated claim creation in Claim Center (system of record) via the Claims Workbench.
• Basic error resolution if the claim fails to be created in Claim Center via the Claims Workbench integration.
• Coordinate with Westfield Specialty Claims Assistants to resolve more significant issues with the FNOL submission.
• Manual FNOL intake and claim creation as needed.

• Review of Non-FNOL Work Items in the Claims Workbench.
• Review and validation of AI extracted and generated content validated against the Work Items original email content.
• Editing of AI extracted data and generated content within the Claims Workbench to confirm to business requirements.
• Routing of Non-FNOL Work Items.
• Basic error resolution.
• Coordinate with Westfield Specialty Claims Assistants to resolve more significant issues with the Non-FNOL Work Items.

• At the direction of Specialty Claims Assistants and/or Claim Owners, provide non-adjusting data collection.
• Provide data entry and other system tasks.
• At the direction of the claim owner, complete the required steps to close a claim in Claim Center.
• Other general administrative activities as needed.

• Working at the direction of an Operations Analyst, complete tasks related to UAT testing including entering test FNOLs and Non-FNOL emails into the test system, reviewing system functionality and output, and logging results in Excel.