Claims Representative

Job Description

Position Overview

Our client is hiring Claims Representatives to support the Wildfire Recovery Compensation Program. These representatives will play a vital role in guiding impacted residents through the claims process with compassion and professionalism. Representatives will provide in-person assistance, answer inquiries, and help residents complete applications and submit documentation. Full training, program guidelines, and onsite support will be provided to ensure success.

Key Responsibilities

Customer Assistance : Provide empathetic, in-person support by answering questions and addressing resident concerns.

Application Support : Assist residents with completing claims applications, uploading documents, and ensuring accuracy per established policies.

Resident Engagement : Actively listen to residents’ needs and ensure they are supported at every step of the process.

Document Management : Scan, upload, and validate documents while maintaining compliance with program standards.

Issue Resolution : Identify and escalate complex cases or exceptions to the appropriate teams.

Compliance & Confidentiality : Protect sensitive resident information by adhering to data privacy and legal requirements.

Communication : Deliver clear instructions and updates on claim status and next steps.

Qualifications & Skills

Preferred Experience : Prior claims support in insurance or healthcare settings.

Technical Skills : Comfort with web-based systems and basic MS Office.

Customer Service Skills : Strong active listening, empathy, and professionalism in sensitive or emotional situations.

Other Requirements :

Detail-oriented with excellent organizational skills.

Able to work independently and collaboratively.