Claims Operations Specialist — Data, AI & Workflow

Kinsale Management, Inc; Richmond (VA); On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

Competitive pay

Bonus opportunities

Comprehensive benefits

PTO 22 days + 10 holidays

401(k) with match

Educational reimbursement

Job summary

Kinsale Insurance in Richmond, VA is seeking a Claims Operations Specialist to help manage the full lifecycle of claims, from intake to closure, with emphasis on data accuracy and process efficiency.

You will support examiners and leadership, route claims, manage inboxes, and leverage AI tools to streamline workflows while maintaining strict adherence to privacy and policy guidelines. Competitive benefits accompany the role.

Qualifications

• Associate's or bachelor's degree, or 2+ years of relevant experience.
• Proficiency in Outlook, Excel, and SharePoint, including working with Excel tables and VLOOKUPs.
• Strong attention to detail and organizational skills, with a high level of accuracy in data entry and documentation.
• Initiative and the ability to manage multiple priorities and deadlines with a collaborative, team-oriented mindset.
• Clear written and verbal communication skills and sound judgment with confidential information.
• Working knowledge of property and casualty coverages, policy terminology, and the claims lifecycle, and interest in obtaining an adjuster license where required by the state, are a plus.
• Familiarity with generative AI tools, such as Claude or ChatGPT, and how they can support everyday administrative and data tasks is a plus.

Responsibilities

• Setting up and routing new claims from the claims mailbox and live calls, verifying policy and coverage details against underwriting records, and assigning each claim to the right team based on type, severity, jurisdiction, and workload.
• Managing department inboxes and the online service desk to triage and respond to internal requests, including invoice processing and mailings.
• Indexing, organizing, and uploading correspondence, photos, reports, invoices, and legal documents while keeping file notes, diary dates, and claim data accurate, current, and compliant with company policies for PII, PHI, and other confidential data.
• Supporting examiners and department leadership with document requests, file follow-ups, and daily workload prioritization, while serving as a knowledgeable point of contact for routine procedural and system questions.
• Processing payment requests and invoices within your authority limits and maintaining vendor and payee information.
• Managing catastrophe event bulletins and distributing information to the relevant teams.
• Maintaining department tracking tools and logs, correcting incomplete, inconsistent, or miscoded claims found in exception reports, and preparing monthly, ad hoc, regulatory, and audit reports for claims management, finance, underwriting, and reinsurance.
• Using AI tools to enhance workflows and assist with data extraction, flagging recurring errors and repetitive tasks to leadership, and helping test system changes.

Skills

Attention to detail

Organizational skills

Data entry accuracy

Communication skills

Multitasking

Confidential information handling

Education

Associate's or Bachelor's degree

2+ years of relevant experience

Tools

Outlook

Excel

SharePoint

VLOOKUPs

Claude

ChatGPT

Job description

Kinsale Insurance in Richmond, VA is seeking a Claims Operations Specialist to help manage the full lifecycle of claims, from intake to closure, with emphasis on data accuracy and process efficiency.

You will support examiners and leadership, route claims, manage inboxes, and leverage AI tools to streamline workflows while maintaining strict adherence to privacy and policy guidelines. Competitive benefits accompany the role.