Job Description
We are looking for a detail-oriented and organized individual to join our team as a
Claims Setup Specialist . This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters.
This position is a full-time, in-office position located at our Rutherford, NJ, headquarters. Key Responsibilities: - Initial Claims Setup:
- Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description).
- Enter claim details into the system, including policy info, loss type, incident description, and the claimant’s description of the event.
- Policy Verification:
- Cross-check claim details against the policy to verify effective dates of coverage.
- Confirm policy and coverage details are accurately entered into the system.
- Confirm appropriate client contact is attached to the policy
- Assign Adjuster & Set Diary Notifications:
- Assign the claim to the appropriate adjuster and supervisor.
- Set adjuster diaries with new claim notifications and necessary actions.
- Claims Acknowledgement Letters:
- Generate and send acknowledgement letters as per client instructions.
Skills and Qualifications: - High attention to detail for accurate data entry and policy verification.
- Ability to assign claims and set appropriate reminders.
- Familiarity with claims management systems (or willingness to learn).
- Basic insurance knowledge is a plus but not required.
- Strong organizational and time management skills.
Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claim’s organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!
As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities!
Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.
Job Tags
Full time,