Frisco-Based Claims Operations Lead

RiseMe; Frisco (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Careington International in Frisco, TX is seeking a Claims Specialist to manage workloads, update incidents, and oversee end-to-end claims operations.

You will interact with external customers and vendors, escalate risks, and collaborate with leadership to align goals while ensuring compliance with policies and regulations. Candidates should have a Bachelor's degree in Business or related field and 3+ years of claims experience, with strong communication and organizational skills.

Qualifications

• Bachelor’s degree in Business or a related field.
• 3+ years of relevant experience in Claims or related field.
• Familiarity with Microsoft Office.
• Preferred: experience in a highly regulated field such as insurance or finance.

Responsibilities

• Manage the workload of the Claims Specialist.
• Continuously manage and update existing incidents and claims in the Careington database.
• Interact with external customers and vendors.
• Apprise management of escalated risk.
• Develop a strong team through training and effective organizational development practices.
• Manage and oversee end-to-end claims administration operations including escalation management.
• Act as an escalation point for complex or sensitive claims or customer issues.
• Ensure claims are handled accurately, efficiently, and in compliance with internal policies and applicable regulations.
• Partner with Claims leadership to align departmental goals, staffing models, and operational priorities.
• Collaborate cross-functionally with other departments such as the contact center to resolve issues and improve processes.
• Ensure all claim submissions meet quality control standards and internal documentation policies.

Skills

Independent work

Organization & PM

Communication skills

Customer service orientation

Attention to detail

Education

Bachelor’s degree in Business or related field

Tools

Microsoft Office

Job description

Careington International in Frisco, TX is seeking a Claims Specialist to manage workloads, update incidents, and oversee end-to-end claims operations.

You will interact with external customers and vendors, escalate risks, and collaborate with leadership to align goals while ensuring compliance with policies and regulations. Candidates should have a Bachelor's degree in Business or related field and 3+ years of claims experience, with strong communication and organizational skills.