Claims Support Representative (Hybrid After Training)

Your Impact:

• Customer Interaction: Respond promptly to customer inquiries, address concerns with professionalism, and provide clear guidance throughout the claims filing process. Act as the primary point of contact, ensuring a seamless customer experience until the claim is successfully submitted to the carrier for processing.

• Claim Processing: Receive, review, and process insurance claim documents for carriers, ensuring accuracy and compliance with company policies and procedures. For certain carriers, this role involves directly entering benefits into their CRM system, requiring meticulous attention to detail and a high level of accuracy.

• Policy Interpretation: Serve as the subject matter expert beyond the initial frontline Customer Service role, providing in-depth interpretation of customer policies and coverage. Accurately assess claim eligibility and determine applicable coverage, ensuring clarity and compliance with company guidelines.

• Record Keeping: Ensure precise and up-to-date records of all claims, communications, and resolutions, maintaining compliance with company policies and industry regulations.

• Documentation: Accurately document all claim-related activities and interactions, adhering to company procedures to support transparency, efficiency, and seamless claims processing.

• Communication: Demonstrate professionalism and clarity in all interactions, effectively engaging with carriers, internal Client Executives and external customers. Foster strong relationships through active listening, precise communication, and a service-oriented approach. Adapt communication style to suit diverse audiences, ensuring transparency and understanding in all claim-related discussions. Maintain a collaborative and solution-focused mindset to facilitate seamless coordination and efficient claims processing.

Successful Candidates Will Have:

• Education: High school diploma or equivalent required; associate’s degree preferred.

• Experience: 1-3 years of customer service, insurance, or claims-related experience preferred.

• Skills: Strong communication and interpersonal skills; excellent attention to detail and data accuracy; ability to multitask in a fast-paced environment; proficiency in claims management systems and office software; knowledge of life and health insurance policies and terminology.

One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform that offers deep specialization, scale, and innovation across wholesale brokerage, program administration, and specialty insurance. With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The platform combines entrepreneurial culture with operational excellence to deliver tailored solutions and long-term value across the insurance ecosystem.  For more information, please visit one80.com.