Insurance Claims Administrator

The Insurance Claims Administrator is responsible for processing and managing insurance claims. They work closely with policyholders, insurance agents, and external parties to ensure accurate and timely processing of claims. This role requires strong organizational and communication skills, as well as a solid understanding of insurance policies and procedures. The Insurance Claims Administrator must also have excellent attention to detail and the ability to effectively handle sensitive and confidential information.

Responsibilities

1. Receive and review insurance claims for completeness and accuracy.
2. Verify policy coverage and confirm the validity of claims.
3. Investigate and gather necessary information to evaluate claims.
4. Communicate with policyholders, witnesses, and other parties involved in the claims process.
5. Process claims in accordance with company policies and procedures.
6. Prepare and maintain claim files and documentation.
7. Calculate and authorize payment of approved claims.
8. Resolve claim disputes and negotiate settlements when necessary.
9. Coordinate with insurance adjusters and attorneys as needed.
10. Keep up-to-date with changes in insurance regulations and industry practices.

Minimum Requirements

1. High school diploma or equivalent.
2. Previous experience in insurance claims processing or related field.
3. Knowledge of insurance policies and coverage.
4. Proficient computer skills and experience with claim management software.
5. Excellent communication and interpersonal skills.
6. Strong attention to detail and accuracy.
7. Ability to handle confidential and sensitive information.
8. Good organizational and time management skills.
9. Problem-solving and decision-making abilities.
10. Ability to work independently and in a team environment.