Claims Setup Specialist
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Job Location:
Rutherford, NJ - USA
Monthly Salary:
Not Disclosed
Posted on:
30 days ago
Vacancies:
1 Vacancy
Job Summary
We are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data verifying policy details and assigning claims to the appropriate adjusters. This position is a full-time in-office position located at our Rutherford NJ headquarters.
Key Responsibilities:
Company Overview:
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our clients specific needs. As a claims organization what we do is complex. Our mission is simple: to provide outstanding service retain extraordinary professionals and utilize the best technology in the industry!
As a leading organization in the industry we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie vision a passion for excellence creativity and a roll-up-your-sleeves get it done mentality. We are searching for experienced energetic creative and self-reliant professionals for exciting career opportunities!
Benefits and Perks:
We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience including salary bonus paid time off medical/dental/vision/life insurance and 401k (with matching!). Most importantly you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic growing company.
Key Responsibilities:
- Initial Claims Setup:
- Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info loss date incident description).
- Enter claim details into the system including policy info loss type incident description and the claimants description of the event.
- Policy Verification:
- Cross-check claim details against the policy to verify effective dates of coverage.
- Confirm policy and coverage details are accurately entered into the system.
- Confirm appropriate client contact is attached to the policy
- Assign Adjuster & Set Diary Notifications:
- Assign the claim to the appropriate adjuster and supervisor.
- Set adjuster diaries with new claim notifications and necessary actions.
- Claims Acknowledgement Letters:
- Generate and send acknowledgement letters as per client instructions.
- High attention to detail for accurate data entry and policy verification.
- Ability to assign claims and set appropriate reminders.
- Familiarity with claims management systems (or willingness to learn).
- Basic insurance knowledge is a plusbut not required.
- Strong organizational and time management skills.
Company Overview:
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our clients specific needs. As a claims organization what we do is complex. Our mission is simple: to provide outstanding service retain extraordinary professionals and utilize the best technology in the industry!
As a leading organization in the industry we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie vision a passion for excellence creativity and a roll-up-your-sleeves get it done mentality. We are searching for experienced energetic creative and self-reliant professionals for exciting career opportunities!
Benefits and Perks:
We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience including salary bonus paid time off medical/dental/vision/life insurance and 401k (with matching!). Most importantly you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic growing company.
Required Experience:
Junior IC
Key Skills
- Digital Electronics
- Gallery
- Learning Management System
- Autocad
- Computer Engineering
About Company
EXPERIENCE AND INTEGRITY: RAPHAEL STANDARDSRaphael & Associates is a Third Party Administrator and Independent Claims Adjusting company internationally recognized for its exceptional service and unsurpassed reputation of nationwide claims handling.Third
