Claims Administration: Client Support Specialist

Raphael & Associates; Rutherford (NJ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Base salary

Performance-based incentives

Paid time off

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) plan with company matching

Job summary

Raphael & Associates in Rutherford, NJ is seeking a motivated and detail-oriented Client Support Specialist to ensure timely and accurate setup of new insurance claims and to provide administrative support to the Claims Department.

You will verify policy information, enter data, and communicate with insureds and clients while maintaining quality and compliance with client requirements in a fast-paced environment.

Qualifications

• High school diploma or equivalent required.
• Previous customer service or administrative support experience in handling insurance claims preferred.
• Strong written, verbal, and interpersonal communication skills.
• Excellent organizational skills with strong attention to detail.
• Ability to prioritize multiple tasks and meet deadlines with accuracy in a fast-paced environment.
• Strong problem-solving skills and the ability to work independently while contributing to a team.
• Proficiency with Microsoft Office applications and the ability to learn claims management software.

Responsibilities

• Review FNOL information received through various reporting channels.
• Set up new claims accurately in the claims management system.
• Verify policy information and enter claim data in accordance with client instructions.
• Assign claims using established workflows and templates.
• Prepare and send acknowledgements and other standard claim correspondence.
• Complete ISO ClaimSearch inquiries and other claim-related searches, as assigned.
• Print, prepare, and process outgoing mail, including certified and overnight correspondence.
• Upload and index documents, create tasks and diary entries, and maintain electronic claim files.
• Monitor department mailboxes and perform other Client Support functions as assigned.
• Answer incoming calls and obtain new claim information from insureds, claimants, agents, and clients.
• Maintain quality, accuracy, and compliance with client requirements and internal procedures.
• Assist with special projects and perform other duties as assigned.

Skills

Customer service

Administrative support

Communication

Organization

Time management

Problem solving

MS Office

Claims software

Education

High school diploma or equivalent

Tools

Claims management software

Job description

Raphael & Associates in Rutherford, NJ is seeking a motivated and detail-oriented Client Support Specialist to ensure timely and accurate setup of new insurance claims and to provide administrative support to the Claims Department.

You will verify policy information, enter data, and communicate with insureds and clients while maintaining quality and compliance with client requirements in a fast-paced environment.