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Claims Administrative Support - (Commercial Insurance)

ECLARO

RemoteFull timeMid levelPosted today
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About the role

Claims Administrative Support - (Commercial Insurance)

First Notice of Loss Intake

• Review of First Notice of Loss Work Items in the Claims Workbench (intake system).

• Review and validation of AI extracted and generated content validated against the Work Items original email content.

• Editing of AI extracted data and generated content within the Claims Workbench to confirm to business requirements.

• Automated claim creation in ClaimCenter (system of record) via the Claims Workbench.

• Basic error resolution if the claim fails to be created in ClaimCenter via the Claims Workbench integration.

• Coordinate with Westfield Specialty Claims Assistants to resolve more significant issues with the FNOL submission.

• Manual FNOL intake and claim creation as needed.

Email Management

• Review of Non-FNOL Work Items in the Claims Workbench.

• Review and validation of AI extracted and generated content validated against the Work Items original email content.

• Editing of AI extracted data and generated content within the Claims Workbench to confirm to business requirements.

• Routing of Non-FNOL Work Items.

• Basic error resolution.

• Coordinate with Westfield Specialty Claims Assistants to resolve more significant issues with the Non-FNOL Work Items.

General Administrative Support

• At the direction of Specialty Claims Assistants and/or Claim Owners, provide non-adjusting data collection.

• Provide data entry and other system tasks.

• At the direction of the claim owner, complete the required steps to close a claim in ClaimCenter.

• Other general administrative activities as needed.

UAT Testing

• Working at the direction of an Operations Analyst, complete tasks related to UAT testing including entering test FNOLs and Non-FNOL emails into the test system, reviewing system functionality and output, and logging results in Excel.

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