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Client Support Specialist-Claims

Full-time

Raphael and Associates

Raphael & Associates is a globally recognized third-party claims administrator and independent claims adjusting firm, known for delivering exceptional service. We understand the importance of staying agile in a dynamic market and pride ourselves on tailoring our solutions to meet the unique needs of each client.  While the work we do as a claims organization is complex, our mission is clear: to deliver outstanding service, attract and retain top-tier professionals, and leverage industry-leading technology to drive results.

Join Our Team
As a leader in the industry, we offer dynamic and rewarding career opportunities for individuals who are driven to make an impact. Our culture is built on collaboration, innovation, and a shared commitment to excellence. We value professionals who bring creativity, vision, and a proactive, results-oriented mindset.
We are seeking experienced, motivated, and forward-thinking individuals to join our team and contribute to our continued success.

The Opportunity
We are seeking a motivated and detail-oriented Client Support Specialist who is responsible for the timely and accurate set up of new insurance claims and provides administrative support to the Claims Department. This role is responsible for ensuring claims are established accurately, client service standards are consistently met, and the claims’ handling process is initiated efficiently.

Key Responsibilities
  • Review First Notice of Loss (FNOL) information received through various reporting channels.
  • Set up new claims accurately in the claims management system.
  • Verify policy information and enter claim data in accordance with client instructions.
  • Assign claims using established workflows and templates.
  • Prepare and send acknowledgements and other standard claim correspondence.
  • Complete ISO ClaimSearch inquiries and other claim-related searches, as assigned.
  • Print, prepare, and process outgoing mail, including certified and overnight correspondence.
  • Upload and index documents, create tasks and diary entries, and maintain electronic claim files.
  • Monitor department mailboxes and perform other Client Support functions as assigned.
  • Answer incoming calls and obtain new claim information from insureds, claimants, agents, and clients.
  • Maintain quality, accuracy, and compliance with client requirements and internal procedures.
  • Assist with special projects and perform other duties as assigned.
Qualifications
  • High school diploma or equivalent required.
  • Previous customer service or administrative support experience in handling insurance claims preferred.
  • Strong written, verbal, and interpersonal communication skills.
  • Excellent organizational skills with strong attention to detail
  • Ability to prioritize multiple tasks and meet deadlines with accuracy in a fast-paced environment.
  • Strong problem-solving skills and the ability to work independently while contributing to a team.
  • Proficiency with Microsoft Office applications and the ability to learn claims management software.
Benefits and Perks
We are an organization that values and recognizes the contributions of our team members. We offer a competitive compensation and benefits package commensurate with experience, including base salary, performance-based incentives, paid time off, comprehensive medical, dental, vision, and life insurance, as well as a 401(k) plan with company matching.

Raphael & Associates is an Equal Opportunity Employer. We are committed to building an equitable, collaborative and diverse workforce throughout our organization by providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic. This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, terminations, promoting, transferring, compensation, benefits, training, leave of absence, and other terms, conditions, and benefits of employment. 
The above is intended to describe this job's general requirements. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

 

Vacancy posted more than 2 months ago
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