Claims Operations & Carrier Liaison

Davies North America; Santa Ana (CA); Presencial; USD 60.000 - 85.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision plans

401(k) plan with employer matching

Paid time off

Paid holidays

Life insurance and disability coverage

Descripción de la vacante

Davies North America is seeking an Operations Specialist to support claims operations and act as a liaison among carriers, underwriters, claim handlers, and management. You will help ensure timely information exchange, data accuracy, and adherence to program guidelines.

The role emphasizes carrier communications, data management, and quality assurance across the claims lifecycle, with emphasis on reporting, audits, and process improvements to enhance service delivery.

Formación

• Experience in insurance, claims administration, underwriting support, program operations, or a related field.
• Working knowledge of insurance terminology, policy information, and claims processes.
• Excellent organizational skills with the ability to manage multiple priorities in a high-volume environment.

Responsabilidades

• Maintain carrier and client communications as the primary operational point of contact.
• Review and enter claim information into the claims management system; retrieve documents as needed.
• Maintain and update program guidelines, workflows, and procedures; ensure adherence to requirements.

Conocimientos

Insurance claims

Claims management

Attention to detail

Communication

Microsoft Office

Project coordination

Herramientas

Carrier portals

Data validation tools

Descripción del empleo

Davies North America is seeking an Operations Specialist to support claims operations and act as a liaison among carriers, underwriters, claim handlers, and management. You will help ensure timely information exchange, data accuracy, and adherence to program guidelines.

The role emphasizes carrier communications, data management, and quality assurance across the claims lifecycle, with emphasis on reporting, audits, and process improvements to enhance service delivery.