Operations Support - Claims (Rockville)
Operations Support - Claims (Rockville)
Posted on :
08-08-2025
Employer Active
1 Vacancy
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Job Description
Who are we
Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation.
Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation.
These services have applicability across a variety of Industry including banking & financial services insurance retail higher education food healthcare and manufacturing. Headquartered in the bustling city of New Jersey Fulcrum was rated among the fastest growing Software Companies in Inc 5000 Club and No. 7 Technology firm in New Jersey by NJ Biz.
Our team of business and technical consultants are spread across the US and other regions including the UK Portugal LATAM Australia and Finland where we have our operations.
The Role
- Must have experience in the insurance domain specifically in Property & Casualty claims processing and operations.
- Create update and maintain operational and SOP documents; manage system access for the Claims leadership team and provide accurate data.
- Able to work effectively at all levels from managing frontline employees to engaging with executives.
- Demonstrated ability to identify and implement process improvements within an operations environment.
- Skilled in managing operational inventory to meet defined Service Level Agreements (SLAs).
- Ensure all activities are accurately documented in the appropriate client systems.
- Communicate with Global Claims Relationship Managers to support the execution of global claims strategies and ensure ongoing engagement with assigned carriers.
- Handle and process claims related to Auto Liability property damage personal injury and liability.
- Investigate claims verify coverage and claim details and ensure accurate and fair claim submission.
- Collaborate with adjusters legal teams and clients to resolve claims efficiently.
- Review policy details with clients to ensure clarity and compliance.
- Maintain detailed and accurate records of policies claims communications and related documentation.
Requirements
- Strong verbal and written communication skills.
- Familiar with claims processing tools such as FileHandler.
- Able to communicate effectively with onsite teams and stakeholders.
- Capable of operating at all organizational levels from managing frontline staff to interacting with executives.
- Proven ability to identify and implement process improvements in an operations environment.
- Skilled in managing operational inventory to meet established Service Level Agreements (SLAs).
- Ensure all activities are accurately documented in the appropriate client systems.
- Collaborate with Global Claims Relationship Managers to support the execution of global claims strategies and maintain carrier engagement.
Main Activities and Responsibilities: Collaborate with stakeholders across departments to gather and document CRM/business requirements Manage and maintain the Salesforce product backlog in collaboration with Product Owners and project managers Design, develop, test, and deploy custom Salesforce solutions including Apex classes, Visualforce pages, and Lightning Components Translate business needs into technical specifications and scalable Salesforce solutions Conduct system and user acceptance testing (UAT) support Create and maintain technical documentation and user training materials Assist in the prioritization of enhancements and change requests based on stakeholder feedback Ensure platform integrity, security, and alignment with enterprise architecture Provide technical support through LSBU s Service Management tool Participate in Agile ceremonies (e.g., sprint planning, daily stand-ups, retrospectives) Communication and Working Relationships: Close collaboration with stakeholders across LSBU, including academic departments, IT Services, LEAP Programme Team Work with change managers, functional leads, and implementation partners Partner with end users, support staff, and delivery teams across the University Selection Criteria: Technical Skills: Proven advanced experience with Salesforce CRM (minimum 4 years hands-on) Deep understanding of Salesforce architecture including Apex, Visualforce, SOQL, Lightning Web Components Experience with Salesforce administration tasks including flows, profiles, permissions, and validation rules Proficiency with HTML, JavaScript, and one backend language (Java, C++, etc.) Familiarity with REST/SOAP-based web services and Salesforce APIs Experience with Salesforce integration tools (MuleSoft, Zapier, etc. is a plus) Strong knowledge of Salesforce data tools (Data Loader, Workbench, DemandTools) Version control and DevOps tools (e.g., Git, Gearset, Copado) experience preferred Functional / Analyst Skills: Experience in product backlog grooming and prioritization Ability to gather and document business requirements and translate them into functional specifications Strong understanding of higher education processes and use cases (preferred) Experience working in Agile/Scrum environments Skilled at stakeholder communication and expectation management Able to create user stories, acceptance criteria, and support UAT Desirable Qualifications: Salesforce Certified Platform Developer I/II Salesforce Certified Administrator Salesforce Certified Business Analyst (preferred) Agile certification (Scrum Master or Product Owner role) is a plus
Employment Type
Full Time
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