Claims Support Specialist

• Copies, assembles, and distributes claim files and related documentation upon request, ensuring compliance with privacy and confidentiality requirements
• Creates, sets up, and inputs new disability claims and/or leave of absence cases as requested, accurately entering data into designated systems and verifying required information
• Prepares, processes, and distributes outgoing correspondence, including mailings, emails and faxes, and performs manual updates to correspondence as needed
• Maintains, organizes and updates departmental files, records, templates, and logs to ensure information is current and accessible
• Conducts outreach to providers and members via telephone, email, and fax to obtain outstanding information and support timely claim and leave processing
• Completes daily administrative tasks for the team, including faxing, scanning, document preparation, email responses, and tracking follow-up items
• Assists with assigned special projects and routine operational support activities under direction
• Follows established workflows, service level expectations, and quality standards while meeting productivity and accuracy requirements
• Assists with other administrative duties as needed to support department operations and business needs
• Performs other related duties as required.

• High School Diploma or Equivalent
• One or more years of job-related work experience
• Strong attention to detail and accuracy when handling confidential and time-sensitive information
• Ability to follow standardized procedures, written instructions, and established workflows
• Proficiency with basic office technology, including email, document management systems, and fax/scanning equipment
• Working knowledge of Microsoft Office applications (Word, Outlook; Excel preferred)
• Effective written and verbal communication skills for interacting with internal teams and providers
• Ability to manage multiple tasks, prioritize workload, and meet deadlines
• Dependable, organized, and able to work both independently and as part of a team
• Some administrative experience preferred.
• Computer skills including but not limited to Outlook, Excel, and Word are required.

Demonstrates strong attention to detail and accuracy in handling confidential information while effectively managing multiple tasks and prioritizing workload. Proficient in Microsoft Office applications and basic office technology to support administrative functions and communication.

• Attention To Detail
• Microsoft Office Proficiency
• Effective Communication Skills
• Document Management
• Administrative Support Experience

• Data Entry
• Document Preparation
• File Management
• Mailing Processes
• Faxing
• Scanning
• Email Correspondence
• Workflow Adherence
• Information Verification
• Administrative Tasks

• Organizational Skills
• Dependability
• Team Collaboration
• Time Management
• Independence

• High School Diploma or Equivalent

• Claims Processing
• Leave of Absence
• Confidentiality Compliance
• Service Level Expectations
• Quality Standards

• Document Management Systems
• Fax Equipment
• Scanning Equipment
• Email Systems