Claims Account Administrator

Performs other responsibilities and duties as needed. Information Management Responsible for collecting client’s claims data from various insurance carriers or TPA RMIS Systems including loss runs. Enter data into claims management systems and audit for accuracy, completeness, and conformity to established procedures.

Enters claim and coverage information into claim management systems. Assist with development of claims management systems for tracking/monitoring, trending and reporting of claims statistics. Assist with tracking of trending, unique, or significant claims. Interact and support the account team with claim summary information as well as claim data.

Internal and External Communication Fields all questions and acts on requests concerning claim progress; time is of the essence in responding to questions and requests. Receives and responds to routine internal/external client’s inquiries, maintains documentation of communications, existing issues, and issue resolutions, referring complex inquiries to more senior staff.

Is proactive in handling daily communications paying special attention to items requiring immediate attention and ensuring they are addressed by claims team. Receives claim information from internal/external client or and verifies relevant policies for reporting to carriers and tracking in appropriate claim filing systems.

Reports claim information accurately and promptly to the appropriate insurance carrier on behalf of the internal/external client; communicates claim information to insurance carrier and internal teams. Maintains communication with internal/external client and insurance carrier; prepares status reports on critical claims for client.

Prepares written correspondence and makes telephone calls to claims adjusters as requested by senior staff. Helps produce communications such as newsletters, bulletins, presentations as requested by senior staff. Meets with Producer and Commercial Insurance Department associates concerning claims progress. Claims Process Quality Assurance Maintains and keeps records of clients.

Assists in the upkeep of carrier adjuster information. Interact and support account team by scheduling and tracking client claims reviews. Takes notes at claims reviews and updates tracking systems as needed. Pulls loss runs, prepares agenda and other material for claim reviews. Protects the confidentiality of information learned by performing the duties of the position.

Makes positive contribution to customer satisfaction and constantly strives to improve service to the customer. Industry Knowledge Acquires an understanding of insurance brokerage business and insurance coverages. Researches industry trends, government regulations and relevant statute and caselaw impacting external clients.

Bachelor’s Degree in Business Administration or related field and/or years of experience equivalent Up to three years of Client services experience is required Strong knowledge of Microsoft Office Suite (Word, Outlook, Excel, and PowerPoint) Strong verbal and interpersonal communication skills required Understands industry trends and governmental regulations Ability to complete continuing education requirements as needed Ability to attend company, department, and team meetings as required, including industry training sessions Ability to comply with all company policies and procedures, proactively protecting confidentiality of client and company information Ability to efficiently organize work and manage time in order to meet deadlines Ability to travel by automobile and aircraft Ability to use office equipment such as a computer, keyboard, calculator, photocopier, and facsimile machine Ability to work on a computer for a prolonged amount of time Ability to work outside of normal business hours as needed Legally able to work in the United States