Claims Support Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Claims Support Specialist supporting Reserv’s AI-driven claims technology through customer outreach, data integrity, compliance, and reporting. Managing claims administration and high-volume records for U.S. operations.
Responsibilities:
- Contact customers directly via phone and email to collect compliance-related information needed to support claim handling and regulatory requirements
- Support claims administration by following up on and resolving outstanding items to keep claims moving toward resolution
- Perform high-volume, accurate data entry and maintain claim records
- Review, audit, investigate, and resolve discrepancies in claims systems in partnership with adjusters and internal teams
- Support claim reporting activities by validating outputs and ensuring data shared internally and externally is accurate, complete, and submitted on time
- Manage data-related and compliance-related task queues, meeting defined SLAs
- Collaborate with claims adjusters, operations, leadership, and external parties
- Perform other duties as assigned
Requirements:
- Candidates must reside in an eligible U.S. state throughout employment
- Unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States
- High school diploma or GED required
- 1+ year of experience with direct customer contact via phone and email, demonstrating a calm, empathetic approach to supporting customers through the claims process
- 2+ years of experience in a data-focused, administrative, compliance, or customer-facing support role within insurance, compliance, or a similar environment
- Strong attention to detail with a proven track record of maintaining high data accuracy
- Experience with data entry, validation, and reporting processes
- Proficiency with Google Sheets, Excel, and similar tools used for reporting and reconciliation
- Ability to manage high-volume work while maintaining quality and meeting deadlines
- Strong organizational and problem-solving skills
- Clear written and verbal communication skills
- Experience with Looker, Power BI, or similar BI tools is a plus
Benefits:
- Generous health-insurance package with nationwide coverage, vision, & dental
- 401(k) retirement plan with employer matching
- Competitive PTO policy
- Generous family leave policy after 8 months of continuous work
- Work from anywhere to facilitate your work life balance
- Apple laptop, large second monitor, and other quality-of-life equipment you may want
Similar Jobs
Customer Experience Manager
Customer Experience Manager supporting restaurant clients using Lavu’s cloud POS platform. Managing adoption, training, QBRs, escalations, and account growth across the Philippines.
Claims Customer Experience Team Lead
Claims Customer Experience Team Lead mentoring claims teams and streamlining customer support. Reserv uses AI and automation to improve insurance claims operations.
Claims Customer Experience Specialist
Customer Experience Specialist supporting customers through multi-line insurance claims at Reserv, an AI-powered insurtech. Handling inquiries, documentation, disputes, and claim resolutions remotely.
Customer Support Representative
Customer Support Representative supporting contractors on Veriforce’s compliance and risk-management SaaS platform. Resolving technical, product, and compliance inquiries through phone, email, and chat.
Business Support Specialist
Business Support Specialist supporting C.A. Carlin’s grocery sales operations. Managing customer forms, Albertsons systems, sales materials, and reporting for CPG retail programs.
Customer Experience Operations Specialist
Customer Experience Operations Specialist improving onboarding, adoption, and retention for Osano’s data privacy platform. Analyzing customer behavior and building scalable self-service programs.
CPC Processor I, Customer Support
CPC Processor I handling release-of-information calls and inquiries for Datavant, a healthcare data collaboration platform. Documenting resolutions while meeting customer service, productivity, and quality standards.
SME Computer User Support Specialist
SME Computer User Support Specialist providing advanced GIS and enterprise application support for Mano Lani LLC. Troubleshooting systems, coordinating technical activities, and mentoring support personnel.
Customer Service Specialist
Remote UK customer service specialist managing vulnerable-customer caseloads for Teleperformance. Conducting evidence-based interviews, assessments, and case reviews to support vulnerable claimants.
Player Support Agent, German Speaker
Remote German-speaking Player Support Agent assisting gamers across live gaming projects. Handling tickets, investigating issues, documenting bugs, and escalating complex player-support cases.
Customer Service Specialist
Customer Service Specialist managing vulnerable-customer caseloads for Teleperformance UK. Conducting evidence-based interviews, assessments, and case management from home.
Registered Financial Customer Service Professional
Registered financial customer service professional answering retirement-plan inquiries for Empower, a financial services company. Processing transactions and guiding participants through account and loan services.
Bilingual Financial Customer Service Representative
Bilingual representative supporting U.S. retirement-plan customers at Empower. Handling account changes, loans, withdrawals and plan inquiries in a remote call center.
People Support Specialist
People Support Specialist supporting HR, payroll, data and compliance operations at One New Zealand, a telecommunications company. Improving employee experience through accurate, customer-focused People services.
Customer Support, Virtual Assistant
Customer Support & Virtual Assistant supporting customers of a technology and AI consulting business serving commercial construction. Handling troubleshooting, administration, meetings, follow-ups, and AI-powered organisation.
Customer Service Representative
Customer Service Representative conducting candidate screenings for High Scale, a global video advertising agency. Supporting recruitment operations and delivering a strong candidate experience.
Player Support Agent, German Speaker
Remote German-speaking Player Support Agent assisting gamers across live titles for TransPerfect. Handling tickets, investigating issues, and escalating bugs within global gaming support teams.
Player Support Agent – German Speaker
Remote German-speaking Player Support Agent assisting players across live gaming projects for TransPerfect. Handling tickets, escalations, reporting, and game-related support.
Key Client Support Specialist
Key Client Support Specialist supporting Horizon BCBSNJ health insurance account teams and SHBP stakeholder relationships. Managing billing operations, forecasts, plan implementations, and vendor integrations.
Customer Support Specialist
Customer Support Specialist handling customer requests, data verification, CRM hygiene, and reporting workflows. Supporting Pearl’s mission to make home performance visible and valuable in real estate.