Claims Specialist II

Job Summary

Owning the assessment and settlement of claims, the full-time remote Claims Specialist II will manage day-to-day claims activities, handle complex claims, and ensure effective communication with customers and stakeholders to achieve timely resolutions.

Key Responsibilities

• Manage day-to-day claims activities for new and reopened claims, including actions, emails, and payments
• Handle or triage complex claims requiring deeper analysis, including appeals and escalations
• Ensure accurate documentation is collected and filed while maintaining quality to meet KPIs

Required Qualifications

• 2-4 years of experience in claims handling, preferably in an insurance firm
• Bachelor's or postgraduate degree in a related field or equivalent is desirable
• Strong understanding of insurance products and terminology
• Familiarity with legal and regulatory aspects of insurance claims
• Fluency in English (verbal & written); additional languages are a plus