Insurance Operations Assistant

RiverStone; Manchester (NH); On-site; USD 50,000 - 70,000; Full time

Job summary

RiverStone in Manchester, NH is seeking a professional for the Insurance Operations Department. The role involves completing various assignments, analyzing data related to claims, assisting with investigations, and providing customer service. Ideal candidates will have an Associate's Degree or Paralegal Certification, with at least one year of relevant experience. Strong communication skills and the ability to work under pressure are essential. This position offers a collaborative work environment and opportunities for professional development.

Qualifications

• A minimum of one year of business-related experience required.
• Prior experience in an insurance claims department or law firm preferred.
• Ability to maintain confidentiality and interface effectively with attorneys.

Responsibilities

• Assists members of the Insurance Operations Department with various assignments.
• Conducts processing activities, including data entry and maintaining claims data.
• Initiates claim investigations and drafts correspondence.

Skills

Excellent writing, verbal, and interpersonal communication skills

Analytical skills

Customer-service oriented

Demonstrated self-starter with strong organizational skills

Computer skills in Word, Excel, Access, and PowerPoint

Education

Associate's Degree or Paralegal Certification

Bachelor's Degree preferred

Job description

Summary

Assists members of the Insurance Operations Department by completing a wide variety of assignments that involve technical complexity. Demonstrates a solid understanding of procedures and ability to produce timely high‑quality work.

Essential Functions

• Collects, analyzes, and maintains data relating to specific accounts and claim trends.
• Conducts day‑to‑day processing activities, including data entry, notes, entering incident details, creating exposures, and associated tasks to assist the Claims Analysts.
• Reviews and maintains materials received or produced by the Insurance Operations department, including legal pleadings, billings and invoices.
• Initiates claim investigations.
• Drafts correspondence, including investigation letters and coverage analysis letters.
• Drafts claim summaries for Claims Analysts.
• Assists in setting up meetings for Insurance Operations Department associates as requested.
• Assists in the preparation of weekly, monthly, and quarterly reports for the Claims Management team, affiliate companies, and the parent company.
• Completes requested research – corporate, case law, reports, and searches.
• Assists in collecting and reviewing materials related to implicated insurance coverage for specific accounts.
• Gathers, analyzes, and organizes information, legal pleadings, discovery and other documents.
• Oversees collection of records and other information for dissemination to outside counsel.
• Performs various aspects of the litigation process in compliance with standard procedures.
• Consults, assists and coordinates with Litigation Managers and outside coverage counsel on all aspects of case management.
• Establishes and maintains effective working relationships, both internally and externally, to ensure compliance with case deadlines.
• Acts as project manager to track tasks/assignments, persons responsible, and target deadlines.
• Reviews complaints to identify pertinent causes of action and document categories to preserve.
• Maintains assigned litigation files and databases with appropriate diary controls.
• Reviews court orders and discovery requests received during litigation and coordinates the collection of data within established deadlines.
• Assists with legal research including online research tools (WestLaw, PACER).
• Assists with e‑discovery searches, including searches of emails, internal network drives, and applications.
• Prepares status reports for Management and assists with audits.
• Prepares draft reports for Litigation Managers, including draft reinsurance reports with financials.
• Supports reinsurance with a variety of tasks, including, but not limited to, applying cash.
• Consistently delivers superior customer service to both internal and external business partners.
• Serves on committees and special projects as assigned.
• Empowers self and teammates to continuously improve business processes/systems and develops and escalates ideas and solutions.
• Empowers self to make decisions within job descriptions and authority; seeks guidance where appropriate.
• Develops creative ideas and solutions to real‑time business problems and/ or business opportunities; takes reasonable, calculated risks even if failure is possible.
• Seeks continuous development by identifying areas for growth and improvement; works with the continuous‑improvement team to implement process and technical improvements.
• Understands key performance indicators and manages toward those priorities.
• Communicates with both internal and external customers on a regular basis.

Required Skills

• Excellent writing, verbal, and interpersonal communication skills.
• Excellent professional judgment.
• Analytical skills.
• Advent at handling multiple assignments.
• Computer skills in Word, Excel, Access, and PowerPoint preferred.
• Able to work accurately with financial data.
• Able to rapidly learn complex procedures and company guidelines.
• Exhibits flexibility in assisting managers in various initiatives.
• Exhibits a positive attitude.
• Strong ability to set priorities and work under pressure to meet deadlines.
• Demonstrated self‑starter who is detail oriented, analytical, and has strong organizational skills.
• Must maintain a high degree of confidentiality and be able to interface effectively with attorneys and other professionals.
• Customer‑service oriented with the ability for developing long‑lasting relationships with internal and external business partners.
• Complete familiarity with the attorney/client privilege, work‑product doctrine, and other doctrines/privileges that protect attorney‑client material from disclosure.

Organizational

• Demonstrates alignment with RiverStone’s commitments.
• Prioritizes and organizes work in a self‑directed manner.
• Attains and maintains knowledge of assigned department.
• Performs other duties as required, including supporting and coordinating with other department colleagues.

Experience

• A minimum of one year of business‑related experience required.
• Prior work experience in an insurance claims department or law firm and/or experience as a litigation paralegal.
• Customer service experience preferred.

Required Education

Associate’s Degree, Paralegal Certification from an ABA‑approved program or relevant work experience.

Preferred Education

Bachelor’s Degree is preferred.

Travel

Minimal to moderate, based upon business needs.

Work Environment / Physical Demands

This position operates in a professional, collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers/printers, and filing cabinets. Noise level is moderate. Other duties may be assigned as needed.

Core Competencies

Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and underlying structure of anything.

Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.

Process Management: Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others can’t; can simplify complex processes; gets more out of fewer resources.

Sizing Up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Ethics and Values: Adheres to an appropriate set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches.

Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; gets first‑hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.

Diversity, Equity, Inclusion & Belonging

RiverStone Resources, LLC is an equal‑opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.

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