Claims Specialist

Exceptional Dental; Knoxville (TN); On-site; USD 42,000 - 55,000; Full time

Job summary

Exceptional Dental is seeking a Claims Specialist in Knoxville, TN to manage property and casualty claim submissions with accuracy and strong client support. You will review claims, gather documentation, coordinate with vendors, and ensure timely resolutions per company policies.

Key duties include handling multi-channel communications, procuring vehicle values, and guiding clients on actions to take. Strong organization, attention to detail and analytical thinking are essential for success.

Qualifications

• Strong organizational and time management to prioritize workload.
• Analytical skills to evaluate information and determine claim outcomes.
• Ability to multitask and manage multiple claims simultaneously.

Responsibilities

• Understand master policy language and apply it to various claim situations.
• Manage incoming correspondence from phone, live chat, email and letter.
• Collect, review and organize all required documentation for claim submissions.
• Provide guidance to clients to assist in determining the appropriate course of action.
• Procure vehicle values from sources such as CARFAX/NADA as needed for claims.
• Review, process and submit claim payments or denial letters in a timely manner.
• Coordinate and manage multiple vendors involved in assigned claims.

Skills

Organizational skills

Time management

Learning agility

Analytical ability

Multitasking

Technical proficiency

Communication skills

Job description

Position Overview:

The Claims Specialist is responsible for managing property & casualty insurance claim submissions efficiently and accurately while providing exceptional support to clients. This role requires strong organizational skills, attention to detail, and the ability to communicate clearly across multiple channels. The Claims Specialist will review claims, gather necessary documentation, coordinate with vendors, and ensure timely claim resolution in accordance with company policies.

Primary Responsibilities:

• Understand master policy language and apply it to various claim situations.
• Manage incoming correspondence from multiple channels, including phone, live chat, email, and letter.
• Collect, review, and organize all required documentation for claim submissions.
• Provide accurate and thorough guidance to clients to assist in determining the appropriate course of action.
• Procure vehicle values from sources such as CARFAX/NADA as needed for claims.
• Review, process, and submit claim payments or denial letters in a timely manner.
• Coordinate and manage multiple vendors involved in assigned claims.

Required Skills & Competencies:

• Strong organizational and time management skills to prioritize and balance workload effectively.
• Ability to quickly learn new processes, systems, and guidelines.
• Analytical skills to evaluate information and determine claim outcomes.
• Ability to multitask and manage multiple claims simultaneously.
• Proficiency with various software systems and technical tools.
• Exceptional attention to detail to ensure accurate claim processing.
• Strong communication skills for interacting with clients and vendors through phone, live chat, email, and written correspondence.