Claim Operations Specialist

Jobtailor

Maryland

On-site

USD 35,000 - 52,000

Full time

14 days+

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Job summary

Jobtailor in Maryland is seeking a Claims Support Specialist to partner with claim professionals and assist customers, handling financial transactions and critical information with accuracy.

You will build strong customer relationships, address questions professionally, and support timely claim resolution. Requirements include a High School Diploma or GED and at least 1 year of service-related experience or a Bachelor's degree, plus proficiency with MS Office and database tools.

Qualifications

  • High School Diploma or GED required.
  • 1 year of service-related work experience or Bachelor’s Degree.
  • Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software.
  • Ability to analyze and compare information to understand issues and explore alternative solutions.
  • Ability to remain energized and focused in the face of ambiguity, change or strenuous demands.
  • Verbal and written communication skills.
  • Ability to exercise sound judgment and make decisions.
  • Ability to seek out, build, foster and maintain productive working relationships to meet goals and achieve results.

Responsibilities

  • Partner with claim professionals to assist customers.
  • Build customer relationships, complete financial transactions, manage important business information
  • Address customer questions and concerns professionally
  • Partner with claim professionals to assist with the timely resolution of claims
  • Document claim files accurately, request reports, and manage mail conditions
  • Ensure the proper handling of financial transactions including claim payments
  • Maintain accurate records and information management
  • Assist with claim center financial standards and effective communication of findings

Skills

Financial transactions
Information management
Claim resolution
Data analysis
Customer relationship management
Professional communication
Problem-solving
Judgment
Adaptability

Education

High School Diploma
GED
Bachelor’s Degree

Job description

Responsibilities
  • Partnering with claim professionals to assist customers
  • Build customer relationships, complete financial transactions, manage important business information
  • Address customer questions and concerns professionally
  • Partner with claim professionals to assist with the timely resolution of claims
  • Document claim files accurately, request reports, and manage mail conditions
  • Ensure the proper handling of financial transactions including claim payments
  • Maintain accurate records and information management
  • Assist with claim center financial standards and effective communication of findings
Requirements
  • High School Diploma or GED
  • 1 year of service‑related work experience OR Bachelor’s Degree
  • Experience utilizing computer technology such as Microsoft Office, e‑mail, Web-enabled applications, and database software
  • Ability to analyze and compare information to understand issues and explore alternative solutions
  • Ability to remain energized and focused in the face of ambiguity, change or strenuous demands
  • Verbal and written communication skills
  • Ability to exercise sound judgment and make decisions
  • Ability to seek out, build, foster and maintain productive working relationships to meet goals and achieve results
Hard Skills
  • financial transactions
  • information management
  • claim resolution
  • document management
  • data analysis
Soft Skills
  • customer relationship management
  • professional communication
  • problem-solving
  • judgment
  • adaptability
Certifications & Qualifications
  • High School Diploma
  • GED
  • Bachelor’s Degree
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