Property & Casualty Claims Consultant
Higginbotham, St. Petersburg, FL, United States
Position Summary:
This Claims Consultant is responsible for accurate reporting and filing of claim notices to the respective Carrier, in addition to reporting handling claim scenarios along with resolution of claims disputes. The Claims Consultant’s functions as a claims representative that provides needed updates to claims related matters to Customers and Producers. Claims Consult is responsible for monitoring the claims inventory, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis.
Essential Tasks
Reports to the Claims Operations Manager and/or Team Lead on workflow issues and the handling of assigned claims inventory
Understand Claims Handling guidelines and Workflows.
Ability to train in Sagitta and ImageRight, including document uploads and complete tasks
Ability to analyze insurance policies for coverage eligibility
Reporting claims to assigned Carrier under appropriate lines of coverage
Communicating with clients by phone; returning voice messages
Emailing clients with timely responses
Emailing Carriers for Follow up and Claims Status
Processing incoming electronic and physical mail with appropriate filing and follow up
Serving as a liaison between clients, carriers, adjusters, vendors and contractors
Communicating claims status with company producers
Takes ownership of assigned work process and provides excellent customer service
Performs all other related duties as assigned
Core Competencies
Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
Dependability: Acknowledgment of the importance of being present and punctual.
Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment
Experience and Education
Bachelor’s Degree or High School Diploma and at least 2 years of experience in the related field
Previous insurance experience
Education or Applied work history
Licensing and Credentials
None
Systems
Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable
Physical Requirements
Ability to lift 25 pounds
Repeated use of sight to read documents and computer screens
Repeated use of hearing and speech to communicate on telephone and in person
Repetitive hand movements, such as keyboarding, writing, 10-key
Walking, bending, sitting, reaching and stretching in all directions
Notice to Recruiters and Staffing Agencies To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.
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This Claims Consultant is responsible for accurate reporting and filing of claim notices to the respective Carrier, in addition to reporting handling claim scenarios along with resolution of claims disputes. The Claims Consultant’s functions as a claims representative that provides needed updates to claims related matters to Customers and Producers. Claims Consult is responsible for monitoring the claims inventory, answering phone calls, consulting on claims related issues. Duties include; handling customer service calls as needed, reviewing claims on an as needed basis.
Essential Tasks
Reports to the Claims Operations Manager and/or Team Lead on workflow issues and the handling of assigned claims inventory
Understand Claims Handling guidelines and Workflows.
Ability to train in Sagitta and ImageRight, including document uploads and complete tasks
Ability to analyze insurance policies for coverage eligibility
Reporting claims to assigned Carrier under appropriate lines of coverage
Communicating with clients by phone; returning voice messages
Emailing clients with timely responses
Emailing Carriers for Follow up and Claims Status
Processing incoming electronic and physical mail with appropriate filing and follow up
Serving as a liaison between clients, carriers, adjusters, vendors and contractors
Communicating claims status with company producers
Takes ownership of assigned work process and provides excellent customer service
Performs all other related duties as assigned
Core Competencies
Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
Dependability: Acknowledgment of the importance of being present and punctual.
Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment
Experience and Education
Bachelor’s Degree or High School Diploma and at least 2 years of experience in the related field
Previous insurance experience
Education or Applied work history
Licensing and Credentials
None
Systems
Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable
Physical Requirements
Ability to lift 25 pounds
Repeated use of sight to read documents and computer screens
Repeated use of hearing and speech to communicate on telephone and in person
Repetitive hand movements, such as keyboarding, writing, 10-key
Walking, bending, sitting, reaching and stretching in all directions
Notice to Recruiters and Staffing Agencies To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.
#J-18808-Ljbffr