Claims Support Officer

Provide claims customer service support by answering inbound calls, responding to inquiries, and escalating issues to appropriate staff to ensure customer satisfaction and service effectiveness. Assist in claims handling by gathering and evaluating information, maintaining documentation, tracking files, and resolving issues to meet corporate standards and regulations. Communicate claims file status and details with relevant parties to support effective customer service delivery. Obtain insurance information by making outbound calls and entering data accurately to ensure completeness and accuracy of account information. Assist with identifying and implementing process improvements to manage claims funds effectively and efficiently. Maintain knowledge of insurance guidelines, policy changes, and modifications to support accurate claims processing. Liaise with internal and external stakeholders to maintain positive relationships and ensure claims are resolved within required timeframes. Process claims accurately and timely, ensuring adherence to policies and procedures. Participate in training and seek guidance to enhance claims support skills and knowledge. Support coordination and execution of user acceptance testing for process changes to mitigate risks to change implementation.