Claims Specialist
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Overview
Schedule
Full-time
Career level
Senior-level
Remote
Hybrid remote
Compensation
$70,000-$85,000/year
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Job Description
The Claims Specialist is responsible for maintaining the company claims process from initial notice to resolution. This person in this position works closely with customers and insurance carriers, providing support and guidance to ensure a seamless experience throughout the claims process.Responsibilities
- Review and process incoming claims in a timely and accurate manner, in accordance with all regulatory and company requirements.
- Request and track any qualifying information needed from customers for accurate claim submission.
- Investigate and resolve complex claim issues.
- Maintain detailed records of all claims activity, including all correspondence and relevant findings.
- Communicate clearly and regularly with customers and carriers to ensure all parties are aware of claims’ status and next steps.
- Track and review large claims, maintaining consistent claim awareness, and ensuring insured is continuously informed of claim status from initial notification to claim closure.
- Notify SVP Operations of large claim concerns and/or issues.
- Provide excellent customer service in addressing customer concerns and complaints.
- Analyze and investigate complicated insurance claims to help prevent fraud.
- Generate monthly, quarterly, and yearly loss run reports for external stakeholders and the internal Leadership team.
- Perform other duties as assigned or required.
- A valid resident Property & Casualty insurance license is required; or the ability to obtain and maintain a valid state insurance license (agency may assist)
- Strong proficiency with Microsoft Office Suite
- Knowledge of, or ability to quickly learn, AMS360 and ImageRight.
- Strong analytical skills and an inherent knack for detailed and comprehensive communication.
- Sound grasp of industry processes and existing business regulations. Excellent communication skills with leadership, coworkers, insureds, and carriers.
- Ability to work independently with minimum supervision.
- Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
- Excellent organizational skills and attention to detail.
- Ability to work within a team atmosphere with a willingness to ask for and receive feedback at all levels. Education and Experience
- Bachelor's degree in a business-related program or equivalent experience in the insurance industry
- Background in claims investigation and commercial property & casualty insurance preferred
- Salary: $70,000-$85,000 annually
- Health insurance, vision, dental, life insurance, and more. This includes an employer-sponsored HSA, paid coverage for employees, and cost-sharing for families.
- 401K with employer matching.
- PTO and paid holidays to support work-life balance. PTO is based on experience and is expected to increase over time.
- A casual office environment with a dedicated and professional team.
- Hybrid opportunities in Berwyn, PA
- Remote opportunities in PA or NJ
About Sovereign Insurance Group Since 1959, Sovereign Insurance Group has been a leader in the nonprofit, commercial property and casualty marketplace. A growing company that has expanded from one location in Southeastern PA to a multi-state organization, we are poised to continue our expansion. We believe in approaching our clients, our insurance companies, and our employees with humility and always considering the other party's interests above our own. This philosophy guides us in taking our talents, our time, and industry know-how to provide the best overall results we can for our clients.
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FAQs About Claims Specialist Jobs at Sovereign Insurance Group
What is the work location for this position at Sovereign Insurance Group?
This job at Sovereign Insurance Group is located in Berwyn, PA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Sovereign Insurance Group?
Candidates can expect a pay range of $70,000 and $85,000 per year.
What employment applies to this position at Sovereign Insurance Group?
Sovereign Insurance Group lists this role as a Full-time position.
What experience level is required for this role at Sovereign Insurance Group?
Sovereign Insurance Group is looking for a candidate with "Senior-level" experience level.
What benefits are offered by Sovereign Insurance Group for this role?
Sovereign Insurance Group offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Life Insurance, Family/Dependent Health, Paid Holidays, Paid Vacation, 401k Matching/Retirement Savings, and Health & Wellness Programs for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Sovereign Insurance Group?
You can apply for this role at Sovereign Insurance Group either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.