Claims Specialist

This is a fully remote position, open to applicants in California, +6 more states.

📋 Description

• Accurately audit, review, and process WFRP claims in a timely manner, adhering to policy requirements, procedures, and regulatory guidelines.

• Investigate and resolve intricate claims, policy, and system issues, including PASS errors, with minimal supervision.

• Act as a knowledgeable resource concerning WFRP claims procedures, policy interpretation, underwriting, and claims processes.

• Collaborate with underwriters, adjusters, compliance staff, agents, and producers to address inquiries and support the claim handling process.

• Utilize expertise in WFRP, MPCI, FCIC, NCIS, RMA, and relevant manuals and policy documentation to aid in claim decisions.

• Identify system-related issues, contribute to training development, and assist in the implementation of process improvements.

• Keep informed about regional crops, farming practices, and internal procedures.

• Adjust to evolving priorities, systems, and business requirements while ensuring quality research and timely execution.

• Travel as necessary, up to 25%.

⛳️ Requirements

• Extensive experience in MPCI underwriting, claims auditing, and/or claims processing is required.

• A minimum of 5 years of experience in MPCI or WFRP crop insurance is preferred.

• In-depth knowledge of FCIC MPCI and WFRP policies.

• Capability to interpret policy provisions and related documentation.

• Familiarity with IRS federal tax forms, company policies and procedures, along with relevant claims or underwriting systems is preferred.

• Proficient in computer skills, including Microsoft Office Suite and Adobe Acrobat.

• Excellent analytical, mathematical, organizational, and problem-solving abilities.

• Strong verbal and written communication skills.

• Exceptional customer service skills.

• Ability to manage multiple priorities both independently and collaboratively within a team.

• Capacity to maintain confidentiality and adapt to changes.

• Competency in navigating complex issues effectively.

• Willingness to travel as necessary, up to 25%.

• Ability to perform sedentary work and remain seated or standing consistently.

• Close visual acuity for data analysis, transcription, computer terminal viewing, extensive reading, and visual inspection.

• Ability to work indoors in a standard office environment.

• Travel required for meetings and training sessions.

🏝️ Benefits

• Two medical plan options, including a Traditional PPO and a Consumer Driven Health Plan with employer HSA contributions.

• Pharmacy benefits, including mail order options.

• Dental coverage, which includes orthodontia benefits.

• Vision coverage.

• Health Care and Dependent Care Flexible Spending Accounts.

• Company-paid Life and AD&D benefits, with an option for supplemental life coverage.

• Company-paid Disability benefits with salary continuation payments.

• 401(k) Retirement Savings Plan featuring competitive employer contributions.

• Paid time off and company-recognized holidays.

• Parental Leave Benefits and Adoption Assistance.

• Employee Assistance Program.

• Tax-Free Commuter Benefits.

• Tuition Reimbursement and Professional Qualification benefits.

• Incentive awards through the pay-for-performance compensation program.