Claims Service Associate

This is a fully remote position, open to applicants in Washington.

📋 Description

• Accountable for the prompt and precise intake, triage, and system configuration of reported incidents, claims, and lawsuits.

• Act as the initial point of contact for insured members, brokers, and internal teams.

• Deliver a professional and responsive customer experience while collecting, validating, and documenting essential claim information.

• Conduct limited claim management within designated authority and assist in the efficient assignment of claims and workflow coordination throughout the Claims Department.

• Collect, analyze, and document thorough First Notice of Loss (FNOL) information and accompanying documentation to guarantee complete data accuracy before assignment.

• Evaluate incoming reports for severity, urgency, and coverage aspects; exercise independent judgment to escalate high-priority and complex issues to Claims Management while autonomously managing first-tier matters.

• Ensure accurate claim setup by confirming applicable coverages, tail endorsements, and policy restrictions within the system, and produce formal acknowledgment correspondence.

• Maintain accurate system data, monitor intake metrics, and process regulatory reporting or referrals (such as Litigation and Peer Support Programs) in conjunction with Legal and Compliance teams.

• Leverage departmental systems, tracking software (including Breezy ATS workflows where relevant), and applications to facilitate daily intake operations, reduce processing delays, and promote process enhancements.

⛳️ Requirements

• High school diploma or equivalent is required; further education, insurance coursework, or industry training is advantageous.

• Three to five years of experience in administrative, customer service, claims, operations, or a related analytical position.

• Preferred experience in insurance, particularly in medical malpractice, professional liability, or similar coverage areas.

• Exceptional attention to detail with the capability to enter, review, and uphold accurate claim information and documentation.

• Competence in reviewing information, evaluating urgency or complexity, managing changing priorities, and escalating issues when necessary.

• Strong organizational, time management, and coordination abilities, with the capacity to juggle competing priorities in a dynamic environment.

• Excellent written and verbal communication skills, with a customer-centered approach and the ability to collaborate effectively with internal teams and external stakeholders.

• Familiarity with basic coverage principles, claim processes, and medical terminology is preferred.

• Experience using workflow, claims, or case management systems is preferred; the ability to learn and adapt to new tools, software, and processes is essential.

• Proficiency in Microsoft Word and Outlook is required; strong typing skills are preferred.

• Capability to work both independently and as part of a team while demonstrating professionalism, sound judgment, and integrity.

🏝️ Benefits

• Comprehensive benefits program

• Generous retirement program

• Paid Time Off

• Annual company bonus at an incentive target level of 5%