Agency Claims Specialist

The Jonus Group; St. Louis (MO); On-site; USD 52,000 - 76,000; Full time

Job summary

The Jonus Group in Missouri is seeking an Agency Claims Specialist to join a detail-oriented team that handles claims processing and client communications. The role emphasizes accuracy, collaboration with underwriting, legal, and customer service, and staying current with industry regulations.

The successful candidate will have a Bachelor’s degree in a related field and experience in claims, with strong analytical and communication skills to explain complex processes to stakeholders.

Qualifications

• 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 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).

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.

Skills

Analytical skills

Communication skills

Organizational skills

Multitasking

Independent work

Team collaboration

Education

Bachelor's degree in business/insurance/finance or related field

Tools

Claims management software

Job description

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.