Claims Operations Specialist

Full Time
Florida
Posted
Job description
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Protect Professionals Claims Management (PPCM), is seeking an exceptional individual with proven discipline, and commitment to join our team as a Claims Operations Specialist.
The hired individual will perform administrative and clerical functions to support the team.
PPCM is a multi-line Third Party Administrator responsible for handling the professional liability claims of CPAs, dentists, lawyers and physicians.
This position is remote work from home.
WHAT YOU WILL DO:
  • Set up new claim files and organize existing claim files within the ImageRight system.
  • Prepare monthly internal and external claims reports.
  • Assist Claims Team members with individual reporting requirements as needed, including documentation for, and assistance with, expense reports.
  • Maintain records to ensure current claims professionals’ licensing for each state.
  • Maintain documentation related to compliance matters and ensure Team performance is consistent with internal and external internal insurance operations standards.
  • Set up and maintain compliance-related reports as requested or required by internal or external review teams.
  • Assist the Claims Leader with daily tasks including preparation and dissemination of managerial reports and ongoing and ad hoc projects and insurance company partner requests.
  • Assist Claims Leader with coordinating and scheduling internal and external meetings.
  • Assist Claims Leader with travel-related scheduling and needs.
  • Responsible for facilitation and set-up of internal and external audits.
  • Prepare communication to internal and external parties on behalf of Claims Leader.
  • Assist Claims Leader with budget process.
  • Maintain Claims Team’s electronic and paper shared documents, files and folders.
  • Other duties as assigned.
WHAT YOU WILL NEED:
  • Proficient using Microsoft Office Suite, especially Word, Outlook and Excel
  • Ability to multi-task in a fast-paced environment
  • Computer Savvy, will be using many different systems and software, including ImageRight, to scan documents, office is paperless
  • Ability to apply concepts of basic accounting and to solve practical problems and understand instructions
  • 2+ years in a similar position or office setting with a good understanding of office procedures
  • Ability to use good judgement in adhering to business and personnel guidelines
  • High School Diploma required, college degree a plus
WHAT WE OFFER:
  • Excellent growth and advancement opportunities
  • Competitive pay based on experience
  • Paid Time Off (PTO)
  • Generous benefits package: health, dental, vision, 401(k), etc.
  • Employee Stock Purchase Plan
LI-SD1
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.

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