Insurance Claims and Policy Processing Clerk

Job Summary

Join our customer's dynamic team as an Insurance Claims and Policy Processing Clerk where your expertise in insurance operations will help shape the future of AI-powered solutions. This hybrid role involves processing insurance claims and policies combined with providing hands-on feedback to AI systems, ensuring both accuracy and compliance.

Key Responsibilities

• Prepare insurance claim forms and review for completeness and accuracy.
• Calculate claim amounts per policy terms and company standards.
• Post or attach relevant information to claim files for documentation.
• Transmit claims for payment or further investigation following protocols.
• Contact insured individuals or related parties for additional information.
• Collaborate with the AI team providing structured feedback to enhance models.
• Utilize excellent communication to document scenarios and clarify terminology.

Required Skills and Qualifications

• Experience processing insurance claims and policies.
• Strong understanding of insurance workflows.
• Exceptional written and verbal communication skills.
• Ability to analyze documents for completeness and accuracy.
• Comfortable working remotely and using digital collaboration tools.
• Strong organizational and time management abilities.
• Proficiency in insurance software and document management systems.

Preferred Qualifications

• Experience with AI, machine learning models or process automation tools.
• Knowledge of regulatory requirements in the insurance sector.
• Experience in customer service or claims investigation roles.

Key skills/competency

• Insurance
• Claims
• Policy
• Processing
• AI
• Compliance
• Documentation
• Communication
• Analysis
• Organization