Agency Claims Specialist

Seeking a dedicated and detail-orientedAgency Claims Specialistto join a dynamic team. This role involves working closely with customers agencies and internal teams to process and manage claims efficiently while delivering an outstanding customer experience. The ideal candidate is a problem solver with excellent communication and organizational skills and thrives in a collaborative and fast-paced environment.

• Review evaluate and process agency claims in accordance with company policies procedures and standards.
• Serve as the primary point of contact for claims-related inquiries ensuring timely and accurate communication with clients and stakeholders.
• Conduct detailed assessments of claims documentation to determine accuracy compliance and validity.
• Collaborate with internal teams such as underwriting legal and customer service in resolving disputes or escalations.
• Maintain thorough and up-to-date records of claim activity using internal systems and tools.
• Identify trends and potential areas of process improvement to enhance efficiency and service quality.
• Provide support and guidance to clients during the claims process ensuring transparency and professionalism throughout.
• Stay informed on industry regulations best practices and emerging trends related to claims management.

• Bachelors degree in business insurance finance or related field or equivalent experience.
• Proven experience as a Claims Specialist Agency Claims Manager or similar role in the claims/insurance industry.
• Strong analytical and decision-making skills with a meticulous attention to detail.
• Excellent verbal and written communication skills with the ability to explain complex processes to clients and stakeholders.
• Proficiency in claims management software and systems; familiarity with industry-specific tools is a plus.
• Exceptional organizational and multitasking abilities to manage competing priorities and tight deadlines.
• Ability to work independently as well as collaboratively as part of a team in a fast-paced environment.
• Certification in claims handling or related areas is a bonus (e.g. AIC CPCU).

Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.

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