Operations Intake/Triage Associate

Triton CMS for Programs; Lake Worth (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Triton CMS for Programs is seeking a Claims Intake & Triage Associate to support the intake and setup of new claims, ensuring accurate data entry and timely processing.

This entry-level role covers claim intake, triage, and basic compliance, offering growth as you learn workflows, systems, and client requirements.

Qualifications

• Requires high school diploma; associate or bachelor’s degree preferred.
• 0–2 years in administrative, claims, or insurance roles.
• Detail-oriented with accurate data entry.
• Proficiency with basic computer systems.

Responsibilities

• Process new claim submissions and enter data into the system.
• Verify documentation completeness and request missing items.
• Assist with initial claim file setup and organization.
• Route claims per guidelines and support workload distribution.

Skills

Attention to detail

Data entry accuracy

Organizational skills

Communication skills

Education

High school diploma or equivalent

Associate degree

Bachelor's degree

Tools

Claims management system basics

Job description

The Claims Intake & Triage Associate supports the intake and setup of new claims, ensuring accurate data entry and timely processing. This role focuses on foundational claim setup tasks while developing an understanding of claims workflows, systems, and client requirements.

Position Summary

The Claims Intake & Triage Associate supports the intake and setup of new claims, ensuring accurate data entry and timely processing. This role focuses on foundational claim setup tasks while developing an understanding of claims workflows, systems, and client requirements.

Key Responsibilities

Claim Intake Support

• Receive and process new claim submissions from internal and external sources
• Enter claim data accurately into the claims management system
• Verify completeness of documentation and follow up for missing information
• Assist with initial claim file setup and organization

Triage Support

• Route claims based on predefined rules and guidance from senior team members
• Support workload distribution across adjusters
• Escalate unclear or complex cases for review

Quality & Compliance

• Ensure data accuracy and completeness in system entries
• Follow established procedures and compliance requirements
• Maintain organized and audit-ready claim documentation

Operational Support

• Meet turnaround time expectations for claim intake
• Support process improvement efforts and workflow organization

Qualifications

• High school diploma or equivalent required; associate or bachelor’s preferred
• 0–2 years of administrative, claims, or insurance experience
• Strong attention to detail and data entry accuracy
• Basic computer and systems proficiency
• Strong organizational and communication skills