Our Claims Coordinator job description includes the responsibilities, duties, skills, education, qualifications, and experience.
About the Claims Coordinator role
A Claims Coordinator is responsible for managing and coordinating the claims process for customers of an insurance company. They review and process insurance claims, investigate and evaluate claims, negotiate settlements, and provide customer service. They must also ensure compliance with relevant laws and regulations.
Role Purpose
The purpose of a Claims Coordinator is to manage the day-to-day activities of the claims process for an insurance company or other organization. This includes reviewing and processing claims, negotiating settlements, and providing customer service to claimants. The Claims Coordinator must also ensure that the claims process is compliant with applicable laws and regulations. The Claims Coordinator must be knowledgeable about the organization's policies and procedures and must have excellent interpersonal and organizational skills.
Claims Coordinator Summary
The Claims Coordinator is responsible for overseeing the processing and management of all claims filed with the organization. This includes ensuring accurate and timely adjudication of claims, ensuring proper record-keeping, and providing customer service throughout the claims process. The Claims Coordinator will work closely with the department's insurance professionals to review documentation, update records, and ensure that claims are processed in a timely manner. The Claims Coordinator should be knowledgeable of insurance regulations and have excellent customer service and communication skills.
Claims Coordinator Duties
- Manage and process claims in a timely and accurate manner
- Ensure all claim documents are completed, processed and reviewed accurately
- Assist with claims inquiries, providing prompt and accurate responses
- Identify potential process and procedural improvements
- Provide support to other departments in connection with claims inquiries
- Maintain knowledge of all current laws, regulations, and best practices related to claims processing
Claims Coordinator Skills
- Excellent communication
- Interpersonal
- Organizational
- Negotiation
- Computer
Claims Coordinator Requirements
- Proficiency in Microsoft Office
- Excellent organizational, communication and customer service skills
- Ability to work in a fast-paced environment
Personal Traits
- Excellent organizational and communication skills
- Ability to multi-task and prioritize tasks
- Ability to work independently and with a team
- Ability to work under pressure
- Attention to detail