Claims Handler

Placements24; Willows (CA); Remote; USD 52,000 - 65,000; Full time

Benefits offered by this job

Competitive salary and remote workflex

Comprehensive health and wellness

Professional development and certs

Retirement plan contributions

Virtual team social events

Job summary

Placements24 is seeking a meticulous and empathetic Claims Handler to join its fully remote team. You will service clients across California and beyond, guiding claimants through the process and ensuring timely, fair settlements.

This role emphasizes clear communication, strong organization, and independent work habits, with opportunities for professional development and a supportive virtual team environment.

Qualifications

• Experience in claims handling or customer service within insurance preferred.
• Excellent written and verbal communication with a professional and empathetic tone.
• Strong organizational skills and multitasking ability.
• Proficiency with claims management software and standard office tools.
• Ability to work independently in a remote setting.
• Solid understanding of insurance principles and policy wordings.

Responsibilities

• Receive, register, and process insurance claims accurately and efficiently.
• Communicate process and requirements to policyholders with clear explanations.
• Gather documentation to assess claim validity and extent of liability.
• Make informed decisions on approvals or rejections based on policy terms and findings.
• Manage a caseload to ensure timely resolution and adhere to SLAs.
• Collaborate with external adjusters, legal representatives, and service providers as needed.

Skills

Communication

Organizational skills

Remote work self-management

Insurance principles

Tools

Claims management software

Office tools

Job description

About the Role

Our client is looking for an organized and empathetic Claims Handler to join their remote team, servicing clients across Welkom and beyond. This position is crucial for managing the claims process efficiently, ensuring policyholders receive timely and fair settlements. You will be the primary point of contact for claimants, guiding them through the process with clarity and support. This fully remote role offers the flexibility to work from home while contributing to a vital function within the insurance sector, supporting individuals and businesses through challenging times with professionalism and efficiency.

Key Responsibilities

• Receive, register, and process insurance claims accurately and efficiently.
• Communicate effectively with policyholders, providing clear explanations of the claims process and requirements.
• Gather all necessary documentation and information to assess claim validity and extent of liability.
• Make informed decisions regarding claim approvals or rejections based on policy terms and investigation findings.
• Manage a caseload of claims, ensuring timely resolution and adherence to service level agreements.
• Collaborate with external adjusters, legal representatives, and service providers as needed.

Requirements

• Previous experience in a claims handling or customer service role within the insurance industry is preferred.
• Excellent communication skills, both written and verbal, with a professional and empathetic tone.
• Strong organizational skills and the ability to manage multiple tasks simultaneously.
• Proficiency in using claims management software and standard office tools.
• Ability to work independently and manage workload effectively in a remote setting.
• A good understanding of insurance principles and policy wordings.

Benefits

• Competitive salary and remote work flexibility.
• Comprehensive health and wellness programs.
• Opportunities for professional development and certifications.
• Contribution to a retirement savings plan.
• Supportive virtual team environment and regular virtual social events.