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Claims Processor I/II

2 months ago

Daytona Beach, Florida, United States Brown & Brown Full time
Job Summary

The Claims Processor is a key member of our Insurance Services & Placement team, responsible for processing new and existing claims and all correspondence related to claims. This role requires a high level of attention to detail, strong communication skills, and the ability to work independently in a fast-paced environment.

Key Responsibilities
  • Process new losses in a timely manner, ensuring all necessary documentation is completed and submitted to insurance carriers.
  • Determine coverage and send documentation to insurance carriers, following up to ensure proper documentation of acknowledgements, determinations, and final settlements.
  • Review all determinations and discuss with carrier adjustors or TPAs to ensure accurate and fair claim settlements.
  • Maintain Standard Operating Procedures (SOPs) for all claims processes, ensuring compliance with industry regulations and company policies.
  • Apply in-depth knowledge of insurance policies and policy interpretation to assist clients and carriers with claim settlement.
  • Assist Account Service Managers, Producers, and Clients with claims questions or issues, providing expert guidance and support.
  • Research complex claim questions and/or situations to ensure a favorable outcome or correct/updated information can be provided.
  • Escalate complex claim questions to the VP or Manager of Insurance Services and Placement for further guidance and support.
  • Complete claims reporting to Account Service Managers, Producers, Clients, and Proctor Loan Protector Leadership, ensuring timely and accurate communication.
  • Assist with daily workflow coordination and carrier downloads, ensuring seamless communication and data exchange.
  • Act as a first contact resource for all team members, providing support and guidance as needed.
  • Complete project work as assigned by other team members and managers, demonstrating flexibility and adaptability.
  • Assist with complex problem-solving within the team and with other departments, leveraging expertise and knowledge to drive solutions.
  • Actively participate in the training of new employees and retraining of current employees, sharing knowledge and best practices.
Requirements
  • Minimum 5-7 years of insurance industry experience, with claim experience preferred (agency processing a plus).
  • High school diploma required; associate or bachelor's degree preferred.
Preferred Skills
  • Strong written and oral communication skills.
  • Experience with Insurance Agency Management System (Applied or AMS).
  • Experience with Microsoft Office Suite.
  • Excellent time management skills.
  • Detail-oriented.
  • Technical learning with a strong desire to learn and acquire new skills.
  • Ability to adapt to a changing environment and handle multiple priorities to meet deadlines.
Equal Employment Opportunity

Proctor Loan Protector is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, national origin, gender identification, or sexual orientation, disability, protected veteran status, or any other classification protected under law.