Group Claims Support Specialist

ViziRecruiter,LLC.; Madison (WI); On-site; USD 42,000 - 56,000; Full time

Job summary

Horace Mann is seeking a Group Claims Support Specialist to join the Claims team in a detail-oriented, fast-paced environment. You will support claims administration, document management, and customer communications while collaborating with Examiners and internal partners.

The role emphasizes accuracy, confidentiality, and timely service, with opportunities to gain experience across Life, Disability, and other Group Insurance products.

Qualifications

• High School Diploma or GED required.
• Strong organizational skills and exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong customer service and interpersonal skills.
• Preferred: Bachelor's degree or equivalent work experience.

Responsibilities

• Assist with claims administration, data entry, and file management.
• Review documents for completeness and route to the appropriate examiner.
• Respond to inquiries from policyholders, employers, and partners.
• Generate reports and support process improvements.

Skills

Detail-oriented

Organizational skills

Verbal and written communication

Multitasking

Customer service

Team collaboration

Education

High School Diploma or GED

Bachelor's degree (preferred)

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Access

Job description

Introduction

We’re motivated by the fact that educators take care of our children’s future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to protect what they have today and financial products to help them prepare for their future.

Overview

At Horace Mann, we're committed to helping educators and their families through life's important moments. As aGroup Claims Support Specialist, you'll play a vital role in supporting our Group Claims team by ensuring claims are processed efficiently, documentation is accurate, and customers receive timely, responsive service.

This position is ideal for a detail-oriented professional who enjoys organization, collaboration, and providing exceptional support in a fast-paced environment. You'll work closely with Group Claims Examiners while gaining valuable experience across Life, Disability, and other Group Insurance products.

Responsibilities

Claims Administration & Processing

• Support Group Claims Examiners by gathering, verifying, and entering claim information into the claims management system.
• Prepare, organize, and maintain complete and accurate electronic claim files.
• Set up new claims and maintain accurate records throughout the claim lifecycle.
• Scan, upload, index, and manage electronic and physical claim documents.
• Assist with claim filing, archiving, retrieval of archived files, and other administrative support activities.

Document & Workflow Management

• Review incoming mail, electronic correspondence, faxes, and documents for completeness and appropriate routing.
• Evaluate disability applications for required documentation and request additional information from applicants or employers when necessary.
• Route claim documentation to the appropriate Claims Examiner.
• Set up and maintain disability claim records within the paperless claims management system.
• Update policy and employer information within internal systems, including PolicyPro and Microsoft Access.

Customer & Business Partner Support

• Respond to routine inquiries from policyholders, beneficiaries, employers, and business partners regarding claim status.
• Prepare and distribute correspondence, reports, commission checks, FICA billings, and other claim-related communications.
• Process vendor and medical provider invoices for payment.
• Collaborate with internal teams to ensure timely and accurate claim support.

Operational Excellence

• Generate reports and summaries to support claims operations and management.
• Participate in special projects and departmental initiatives as assigned.
• Maintain high standards of accuracy, confidentiality, and service while meeting established productivity and quality expectations.
• Identify opportunities to improve workflows and support continuous process improvement.

Requirements

Required

• High School Diploma or GED.
• Strong organizational skills with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong customer service and interpersonal skills.

Preferred

• Bachelor's degree in a related field or equivalent work experience.
• Experience in an administrative, operations, or support role within the insurance or financial services industry.
• Familiarity with claims administration or claims management systems.
• Working knowledge of Microsoft Office Suite, including Word, Excel, Outlook, and Access.

Skills & Competencies

• Detail-oriented with a strong focus on quality and accuracy
• Excellent organizational and time management skills
• Strong analytical and problem-solving abilities
• Ability to work independently and collaboratively
• Customer-focused with a commitment to service excellence
• Adaptable and eager to learn new systems and processes