Customer Service Claims Administrator

Description

JOB SUMMARY : This hybrid position based out of our Rochester, NY corporate office, will work with the Insurance and Enterprise Risk Management team to deliver high quality customer service and claims-processing support.

SUPERVISORY RESPONSIBILITY : None

ESSENTIAL DUTIES :

Assists the claims team with state form filing, data entry, responding to subpoenas and other legal discovery requests, drafting claims correspondence, and running reports, as requested.

Assists with compiling related data as needed.

• Communicate with internal and external parties with a focus on efficiently providing a high level of service.
• Receives and manages low to moderate complexity General Liability and Property Damage claims. Coordinates related investigations with operations management and claimants.

Negotiates settlements as appropriate.

• Assists Risk Specialists as needed.
• Manages the Rx Safety Glasses program, including processing requests, managing spreadsheets, and coordinating payments.
• Provides compliance-related support, to include policy development, research, and follow-up to ensure compliance.
• Assists with the annual property and casualty insurance renewal process by gathering data, documents, etc. requested by insurance carriers and brokers.
• Oversees the customer feedback process by processing feedback obtained either through the company website or through phone calls received.
• Routes feedback and follow-up requests to the appropriate internal and external parties using records management systems, email, and telephone.
• Generates reports related to the status of customer / claimant feedback and follows up as needed to ensure the feedback loop is closed.
• Responds to requests for Certificates of Insurance (COI's) from customers and vendor partners. Manages the COI oversight and renewals for subcontractors.
• Reviews, generates, and processes various electronic and paper invoices. Coordinates with associated parties and maintains related databases and systems.
• Coordinate scheduling of meetings.
• Handles / processes departmental mail.
• May perform other duties as assigned.

REQUIRED QUALIFICATIONS :

• Associate's degree in business, finance, insurance, or related field.
• Minimum of two years experience working in an administrative environment.
• Minimum of one year of verifiable insurance claim investigation experience.

TECHNOLOGY, EQUIPMENT & TOOLS :

• Proficient with standard office equipment i.e. computer, phones, scanner, fax and copier.
• Proficient with Microsoft Office programs including advanced proficiency in Microsoft Excel.
• Proficient with data entry and database management.
• Proficient with multiline phone systems.
• Records Management System(s) experience.
• Internal and external mail handling experience.

KNOWLEDGE, SKILLS & ABILITIES :

• Demonstrated ability to understand priorities and work through issues to identify, develop and implement effective resolutions.
• Exceptional interpersonal communications skills; including oral and written communications, listening and presentation / facilitation skills.
• Demonstrated success in learning processes, systems, and policies.
• Ability to interact effectively with all levels of management.
• Demonstrates strong decision-making and critical thinking skills.
• Demonstrated ability to negotiate.
• Demonstrates integrity and ethics.
• Ability to effectively set priorities and manage a high-volume of activity in a flexible manner.
• Ability to work independently and take responsibility for assigned work.
• Demonstrated ability to accurately present and memorialize information.
• Proficient analytical skills.
• Ability to communicate in Spanish preferred.
• Demonstrated understanding of the importance of protecting interpersonal and / or confidential information.

PHYSICAL DEMANDS AND WORK ENVIRONMENT :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, an employee must regularly stand, walk, sit for extended periods of time, reach and perform repetitive computing tasks.

While performing the duties of this job, an employee must occasionally stoop, kneel, crouch, crawl, climb stairs and lift or move up to 25 pounds.

While performing the duties of this job, the employee is regularly exposed to an office environment. Thoe noise level in the work environment is usually moderate.

Pay rate range for this role is $19 - $24 / hour