Claims Operations & Documentation Specialist

Jobtailor; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

MEM Insurance in New York is seeking an administrative support professional to assist Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management. You will act as a primary contact for inquiries by phone, email, fax, chat, and web portals, and you will manage and process requests for claim-related documentation.

Responsibilities include indexing and maintaining claim files, coordinating time-sensitive external requests, and distributing files to attorneys and

Qualifications

• High school diploma or equivalent required.
• Bachelor’s degree preferred.
• Valid driver’s license required.
• One or more years of experience in a professional office environment.
• Prior exposure to Workers’ Compensation or a similar industry preferred.

Responsibilities

• Provide administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
• Serve as a primary contact for internal and external inquiries via phone, email, fax, chat, and web portals.
• Manage and process requests for claim-related documentation.
• Index, process, and maintain claim files for efficient review and regulatory compliance.
• Support claim intake by gathering information, identifying initial compensability considerations, and documenting claims.
• Coordinate and process time-sensitive external requests, including workers’ compensation forms, OSHA reports, police reports, conservation records, death certificates, and driver’s license suspensions.
• Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners.
• Manage ClaimCenter queues and ImageRight for document handling and task completion.
• Coordinate IME scheduling, follow-up appointments, transportation, and hotel reservations.
• Partner with external vendors including CorVel, OneCall, Metro Reporting, and HomeLink.
• Manage certified mailings and collections activities, including monthly expense reconciliation.
• Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate.
• Act in accordance with MEM Insurance’s vision, mission, and values.

Skills

Claims Processing

Documentation Management

Data Entry

Information Gathering

Expense Reconciliation

Education

High School Diploma

Bachelor’s degree preferred

Tools

ClaimCenter

ImageRight

Web Portals

Job description

MEM Insurance in New York is seeking an administrative support professional to assist Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management. You will act as a primary contact for inquiries by phone, email, fax, chat, and web portals, and you will manage and process requests for claim-related documentation.

Responsibilities include indexing and maintaining claim files, coordinating time-sensitive external requests, and distributing files to attorneys and