Claims Operations Specialist — Process & Compliance

Church Mutual Insurance Company, S.I.; Merrill (WI); On-site; USD 32,000 - 42,000; Full time

Job summary

Church Mutual Insurance Company, S.I. is seeking an attentive claims support associate to perform administrative duties across the claim life cycle for all lines of business. You will triage and assign claims, process payments, enter data, and support compliance tasks in multiple claims systems.

The role emphasizes accuracy, timely communication with internal and external customers, and collaboration with team members to meet service levels and quality guidelines in a corporate environment.

Qualifications

• High School diploma or equivalent required.
• Office, clerical, computer and/or insurance classes desirable.
• Proficient data entry skills.
• Ability to process work using Microsoft Word and Excel.
• Must be self-motivated with a cooperative, positive attitude.
• Ability and willingness to answer calls from internal/external customers and provide service.
• Strong time management to work independently following established processes.
• Ability to collaborate as part of a team.

Responsibilities

• Triage and assign claims to Adjusters per guidelines and rules.
• Enter and confirm payments align with contracted services; escalate unusual invoicing.
• Develop operational/compliance procedures and standard work as requested.
• Investigate and distribute misdirected information to the appropriate unit.
• Monitor queues to ensure work meets service levels and quality guidelines.
• Issue authorized expense and loss payments and document the file with correct coding.
• Support maintenance of multiple applications, systems, and portals for the Claim Department.
• Complete general administrative tasks and other duties as assigned.

Job description

Church Mutual Insurance Company, S.I. is seeking an attentive claims support associate to perform administrative duties across the claim life cycle for all lines of business. You will triage and assign claims, process payments, enter data, and support compliance tasks in multiple claims systems.

The role emphasizes accuracy, timely communication with internal and external customers, and collaboration with team members to meet service levels and quality guidelines in a corporate environment.