Claims Operations Associate

Talentoma; New York (NY); Remote; USD 97,000 - 106,000; Full time

Job summary

Talentoma seeks a fully remote, full-time Associate to support claims operations for policyholders, agencies, adjusters, and carrier partners. The role blends service follow-through with careful review of claim files, payments, and operational records, while providing clear status updates and next steps.

You will log activity in claims platforms and collaborate with finance and operations teams. Salary range is $8,700–$9,500 per month, with a fully remote U.S.-based work environment and

Qualifications

• Experience supporting claims, policy services, billing, or another financial-services workflow.
• Familiarity with claim files, loss reports, adjuster correspondence, and payment documentation.
• Ability to interpret written procedures and identify missing or inconsistent file information.
• Comfort using claims platforms, spreadsheets, and shared digital workspaces.
• Sound judgment when handling confidential policyholder and financial information.
• Fully remote U.S.-based work environment.
• Structured onboarding and ongoing claims operations learning.
• Collaborative support from operations, finance, and claims colleagues.

Responsibilities

• Triage policyholder and agency inquiries, providing clear status updates and next-step guidance.
• Reconcile payment or claim-status questions against file notes, supporting documents, and carrier instructions.
• Escalate complex, sensitive, or time-sensitive file issues to adjusters or operations leads.
• Log interactions, requests, and file activity in claims platforms with complete, timely notes.
• Verify loss details, coverage-related documents, invoices, and payment information for completeness.
• Draft operational reports and file summaries that help teams monitor pending work and service trends.

Skills

Claims support

Policy services

Billing knowledge

Data interpretation

Remote work

Tools

Claims platforms

Spreadsheets

Shared workspaces

Job description

Monthly Pay: $8,700 - $9,500 USD per month

Summary

Support accurate, responsive claim operations for policyholders, agencies, adjusters, and carrier partners. This fully remote, full-time Associate role combines service follow-through with careful review of claim files, payments, and operational records.

Job Responsibilities

• Triage policyholder and agency inquiries, providing clear status updates and next-step guidance.
• Reconcile payment or claim-status questions against file notes, supporting documents, and carrier instructions.
• Escalate complex, sensitive, or time-sensitive file issues to adjusters or operations leads.
• Log interactions, requests, and file activity in claims platforms with complete, timely notes.
• Verify loss details, coverage-related documents, invoices, and payment information for completeness.
• Draft operational reports and file summaries that help teams monitor pending work and service trends.

Qualifications

• Experience supporting claims, policy services, billing, or another financial-services workflow is welcomed.
• Familiarity with claim files, loss reports, adjuster correspondence, and payment documentation.
• Ability to interpret written procedures and identify missing or inconsistent file information.
• Comfort using claims platforms, spreadsheets, and shared digital workspaces.
• Sound judgment when handling confidential policyholder and financial information.
• Fully remote U.S.-based work environment.
• Structured onboarding and ongoing claims operations learning.
• Collaborative support from operations, finance, and claims colleagues.