Client Support Specialist-Claims

Raphael & Associates; Rutherford (NJ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Base salary

Performance-based incentives

Paid time off

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) plan with company matching

Job summary

Raphael & Associates in Rutherford, NJ is seeking a motivated and detail-oriented Client Support Specialist to ensure timely and accurate setup of new insurance claims and to provide administrative support to the Claims Department.

You will verify policy information, enter data, and communicate with insureds and clients while maintaining quality and compliance with client requirements in a fast-paced environment.

Qualifications

• High school diploma or equivalent required.
• Previous customer service or administrative support experience in handling insurance claims preferred.
• Strong written, verbal, and interpersonal communication skills.
• Excellent organizational skills with strong attention to detail.
• Ability to prioritize multiple tasks and meet deadlines with accuracy in a fast-paced environment.
• Strong problem-solving skills and the ability to work independently while contributing to a team.
• Proficiency with Microsoft Office applications and the ability to learn claims management software.

Responsibilities

• Review FNOL information received through various reporting channels.
• Set up new claims accurately in the claims management system.
• Verify policy information and enter claim data in accordance with client instructions.
• Assign claims using established workflows and templates.
• Prepare and send acknowledgements and other standard claim correspondence.
• Complete ISO ClaimSearch inquiries and other claim-related searches, as assigned.
• Print, prepare, and process outgoing mail, including certified and overnight correspondence.
• Upload and index documents, create tasks and diary entries, and maintain electronic claim files.
• Monitor department mailboxes and perform other Client Support functions as assigned.
• Answer incoming calls and obtain new claim information from insureds, claimants, agents, and clients.
• Maintain quality, accuracy, and compliance with client requirements and internal procedures.
• Assist with special projects and perform other duties as assigned.

Skills

Customer service

Administrative support

Communication

Organization

Time management

Problem solving

MS Office

Claims software

Education

High school diploma or equivalent

Tools

Claims management software

Job description

Raphael & Associates is a globally recognized third-party claims administrator and independent claims adjusting firm, known for delivering exceptional service. We understand the importance of staying agile in a dynamic market and pride ourselves on tailoring our solutions to meet the unique needs of each client. While the work we do as a claims organization is complex, our mission is clear: to deliver outstanding service, attract and retain top-tier professionals, and leverage industry-leading technology to drive results.

Join Our Team

As a leader in the industry, we offer dynamic and rewarding career opportunities for individuals who are driven to make an impact. Our culture is built on collaboration, innovation, and a shared commitment to excellence. We value professionals who bring creativity, vision, and a proactive, results-oriented mindset.

We are seeking experienced, motivated, and forward-thinking individuals to join our team and contribute to our continued success.

The Opportunity

We are seeking a motivated and detail-oriented Client Support Specialist who is responsible for the timely and accurate set up of new insurance claims and provides administrative support to the Claims Department. This role is responsible for ensuring claims are established accurately, client service standards are consistently met, and the claims’ handling process is initiated efficiently.

Key Responsibilities

• Review First Notice of Loss (FNOL) information received through various reporting channels.
• Set up new claims accurately in the claims management system.
• Verify policy information and enter claim data in accordance with client instructions.
• Assign claims using established workflows and templates.
• Prepare and send acknowledgements and other standard claim correspondence.
• Complete ISO ClaimSearch inquiries and other claim-related searches, as assigned.
• Print, prepare, and process outgoing mail, including certified and overnight correspondence.
• Upload and index documents, create tasks and diary entries, and maintain electronic claim files.
• Monitor department mailboxes and perform other Client Support functions as assigned.
• Answer incoming calls and obtain new claim information from insureds, claimants, agents, and clients.
• Maintain quality, accuracy, and compliance with client requirements and internal procedures.
• Assist with special projects and perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Previous customer service or administrative support experience in handling insurance claims preferred.
• Strong written, verbal, and interpersonal communication skills.
• Excellent organizational skills with strong attention to detail
• Ability to prioritize multiple tasks and meet deadlines with accuracy in a fast-paced environment.
• Strong problem-solving skills and the ability to work independently while contributing to a team.
• Proficiency with Microsoft Office applications and the ability to learn claims management software.

Benefits and Perks

We are an organization that values and recognizes the contributions of our team members. We offer a competitive compensation and benefits package commensurate with experience, including base salary, performance-based incentives, paid time off, comprehensive medical, dental, vision, and life insurance, as well as a 401(k) plan with company matching.

Raphael & Associates is an Equal Opportunity Employer. We are committed to building an equitable, collaborative and diverse workforce throughout our organization by providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic. This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, terminations, promoting, transferring, compensation, benefits, training, leave of absence, and other terms, conditions, and benefits of employment.

The above is intended to describe this job’s general requirements. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.