Claims Assistant

Claims Assistant

Duration 1 year contract

Remote - CA

Pay Range: $30.00/hour - $33.00/hour

• Demonstrated customer service skills, problem solving skills, prior claims or escalation experience

• Clear and confident communication, de‑escalation, empathy, ability multitask, time management, adaptability, comfortable using all Microsoft products

Provides first line of claims related support to third parties & co‑workers calling the Claims Helpline. Responds to incoming calls and emails requesting assistance with the claims process, claim status, claims policy questions and dispute resolution. Refers and/or escalates inquiries. Performs research for issue resolution. Utilizes reference materials, online resources and knowledge database to research, track, monitor and note issues in claims database.

Supports and coordinates claims related tasks. Answers Claims Helpline and effectively communicates understanding of claims policies and processes to claimants. Processes claims as needed.

• Ensure that questions are fully addressed; elevate complex/difficult questions
• Follow through to ensure that each Claims Helpline call is fully resolved
• Record and track all customer contacts in the system of record
• Review claims mail and distribute time‑sensitive correspondence and legal mail to appropriate contacts for action
• Monitor department mailboxes and respond to internal & external emailed claim questions
• Navigate the Claims Riskmaster database to search for, review, notate claims
• Coordinate and support the implementation of claim related projects and initiatives as assigned
• Provide operational support and/or staff backup relief as necessary
• Ability to work in a team environment
• Ability to handle confidential and sensitive information with discretion
• Exceptional customer and team support skills
• Ability to multitask and manage a fluctuating workload
• Proficient in Microsoft Word, Excel, Power Point and Outlook applications
• Ability to communicate effectively verbally and in writing
• Exceptional organizational skills to manage multiple complex projects at once, and work at a fast pace for an extended period of time, while being extremely adaptable and flexible
• Ability to quickly learn new systems, and accept processes and procedures already established

• Education Minimum:
  High School or General Education Development (GED) Diploma
• Desired:
  Bachelor’s degree
• Experience Minimum: 2 years general office & customer service experience
• Desired: 4 years of related claims, legal related operations support or coordinator experience
• Desired:
  Customer service experience & Claims or legal related support experience

• Health insurance
• Health savings account
• Dental insurance
• Vision insurance
• Flexible spending accounts
• Life insurance
• Retirement plan

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment‑qualified applicants with arrest and conviction records. For Los Angeles, CA applicants:
Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.