Claims Specialist

Sovereign Insurance Group; Devon (PA); Hybrid; USD 50,000 - 75,000; Full time

Benefits offered by this job

Health insurance

401K with employer matching

PTO and paid holidays

Casual office environment

Job summary

Sovereign Insurance Group is looking for a Claims Specialist to manage claims from start to finish. This role involves working closely with customers and insurers to ensure a smooth claims process.

The ideal candidate should have a Bachelor’s degree or equivalent experience in the insurance industry, along with a strong proficiency in Microsoft Office and analytical skills. Benefits include health insurance, a 401K plan, and opportunities for hybrid working.

Qualifications

• Valid Property & Casualty insurance license or ability to obtain one.
• Strong proficiency with Microsoft Office Suite.
• Knowledge of AMS360 and ImageRight preferred.

Responsibilities

• Review and process incoming claims accurately.
• Request and track qualifying information from customers.
• Investigate and resolve complex claim issues.
• Maintain detailed records of claims activity.
• Communicate with customers and carriers about claim status.

Skills

Property & Casualty insurance license

Microsoft Office Suite

Knowledge of AMS360 and ImageRight

Analytical skills

Communication skills

Organizational skills

Education

Bachelor's degree in a business-related program

Job description

The Claims Specialist is responsible for maintaining the company claims process from initial notice to resolution. This person in this position works closely with customers and insurance carriers, providing support and guidance to ensure a seamless experience throughout the claims process.

Responsibilities

• Review and process incoming claims in a timely and accurate manner, in accordance with all regulatory and company requirements.
• Request and track any qualifying information needed from customers for accurate claim submission.
• Investigate and resolve complex claim issues.
• Maintain detailed records of all claims activity, including all correspondence and relevant findings.
• Communicate clearly and regularly with customers and carriers to ensure all parties are aware of claims’ status and next steps.
• Track and review large claims, maintaining consistent claim awareness, and ensuring insured is continuously informed of claim status from initial notification to claim closure.
• Notify SVP Operations of large claim concerns and/or issues.
• Provide excellent customer service in addressing customer concerns and complaints.
• Analyze and investigate complicated insurance claims to help prevent fraud.
• Generate monthly, quarterly, and yearly loss run reports for external stakeholders and the internal Leadership team.
• Perform other duties as assigned or required.

Required Skills/Abilities

• A valid resident Property & Casualty insurance license is required; or the ability to obtain and maintain a valid state insurance license (agency may assist)
• Strong proficiency with Microsoft Office Suite
• Knowledge of, or ability to quickly learn, AMS360 and ImageRight.
• Strong analytical skills and an inherent knack for detailed and comprehensive communication.
• Sound grasp of industry processes and existing business regulations.
• Excellent communication skills with leadership, coworkers, insureds, and carriers.
• Ability to work independently with minimum supervision.
• Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
• Excellent organizational skills and attention to detail.
• Ability to work within a team atmosphere with a willingness to ask for and receive feedback at all levels.

Education and Experience

• Bachelor's degree in a business-related program or equivalent experience in the insurance industry
• Background in claims investigation and commercial property & casualty insurance preferred

Benefits

• Health insurance, vision, dental, life insurance, and more. This includes an employer-sponsored HSA, paid coverage for employees, and cost-sharing for families.
• 401K with employer matching.
• PTO and paid holidays to support work-life balance. PTO is based on experience and is expected to increase over time.
• A casual office environment with a dedicated and professional team.
• Hybrid opportunities in Berwyn, PA.