Insurance Claims and Policy Processing Clerk

About the Role: Insurance Claims and Policy Processing Clerk at micro1

Join micro1'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. In this unique hybrid role, you will process insurance claims and policies while also providing hands-on feedback to AI systems, ensuring accuracy and compliance. Engage with both technology and people to drive innovation in a remote, flexible environment.

Key Responsibilities

• Prepare insurance claim forms and related documents, reviewing them for completeness and accuracy.
• Calculate claim amounts in accordance with policy terms and company standards.
• Post or attach relevant information to claim files, ensuring thorough documentation.
• Transmit claims for payment or further investigation as needed, following internal protocols.
• Contact insured individuals or other involved parties to gather missing or additional information.
• Collaborate closely with the AI development team, providing structured feedback to enhance claims- and policy-related AI models.
• Utilize excellent written and verbal communication to document real-world scenarios and clarify insurance terminology for AI training purposes.

Required Skills and Qualifications

• Proven experience processing insurance claims and policies, with a strong understanding of related workflows.
• Exceptional written and verbal communication skills, with a keen attention to detail.
• Ability to analyze documents for completeness and accuracy.
• Comfortable working remotely and utilizing digital collaboration tools.
• Strong organizational and time management abilities.
• Proficient in navigating insurance software and document management systems.
• Demonstrated commitment to operational integrity and customer care.

Preferred Qualifications

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

Key Skills/Competency

• Insurance Claims Processing
• Policy Administration
• AI Feedback & Training
• Data Accuracy & Compliance
• Written Communication
• Verbal Communication
• Document Analysis
• Insurance Software Proficiency
• Organizational Skills
• Customer Service