Insurance Claims Specialist

Church Mutual Insurance Company, S.I.; Merrill (WI); On-site; USD 52,000 - 78,000; Full time

Job summary

Church Mutual Insurance Company, S.I. is seeking a Claims Processor to handle basic claim processing, verify policy coverage, and issue payments in accordance with state and federal regulations.

The role involves documenting information, initiating investigations as needed, and collaborating with higher-level claim representatives for complex cases. Ideal candidates will have at least two years of insurance processing or equivalent customer service experience, with strong communication and

Qualifications

• Two years of insurance processing and/or equivalent customer service experience.
• Proficient in communicating with insureds and claimants by phone, email, and in writing.
• Ability to obtain and maintain state adjuster license requirements and complete continuing education.

Responsibilities

• Process newly reported claims, initiate basic claim investigation, and redirect complex claims as needed.
• Perform Claim Processing System entry and maintenance: file setup, coverage verification, coding, reserves, and payments.
• Verify coverage and determine insurer obligations to insureds/claimants.
• Review claims to determine type, documentation, amount, or amount due.
• Establish and monitor case reserves for adequacy throughout the life of the claim.
• Identify subrogation potential and refer to Subrogation Specialist when appropriate.
• Request additional information and provide instructions to insureds.
• Submit state filings and send required notices and letters.
• Complete claim process by reviewing documentation and issuing payments.
• Assist other claim handlers as requested.

Skills

Customer service

Phone & email communication

Keyboarding

Education

High school diploma

Associate degree in insurance or business

Insurance terminology courses

Job description

Church Mutual Insurance Company, S.I. is seeking a Claims Processor to handle basic claim processing, verify policy coverage, and issue payments in accordance with state and federal regulations.

The role involves documenting information, initiating investigations as needed, and collaborating with higher-level claim representatives for complex cases. Ideal candidates will have at least two years of insurance processing or equivalent customer service experience, with strong communication and