Claims Specialist

Overview

We are seeking a highly organized and detail-oriented Claims Specialist to join our team. The ideal candidate will play a pivotal role in managing claims efficiently and effectively, ensuring timely resolution of incidents while maintaining excellent communication and negotiation skills.

Key Responsibilities

Claims Management:

• Process claims reporting and ensure accurate documentation.
• Handle utility damage claims by assessing, negotiating, and processing payments.
• Manage property damage claims, including evaluating, negotiating, and executing payments.
• Monitor claims activity and notify claims manager of any significant activity, trend, or financial impact
• Assess severity of incidents to determine plan of action and next steps

Non-Insurance Incident Management:

• Negotiate and process non-insurance incidents and payments.

Administrative and Data Management:

• Create and maintain organized folders in OneDrive for claim-related documentation.
• Compile data and prepare reports as required.
• Confirm all data points align across all systems and records to guarantee complete consistency without discrepancies
• Perform general administrative tasks to support the claims process.

Communication and Collaboration:

• Participate in claims-related calls and conferences to ensure efficient coordination and resolution.
• Partner with other departments to confirm all relevant parties are notified promptly of any updates that affect other business units

Qualifications

• General knowledge and application of insurance policies
• Minimum 1-year experience in an insurance-related field (adjuster, broker, risk manager, etc.)
• Strong attention to detail and organizational skills.
• Excellent communication and negotiation abilities.
• Proficiency in data management and administrative tasks.
• Ability to work independently and as part of a team. 

Working Conditions 

• Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards.   
• Consists of sedentary work.  Ability to lift up to 20 pounds.   
• Substantial movements of the hands, wrists, and/or fingers.  
• Required to have close visual acuity to perform activities such as preparing and analysing data and figures or viewing a computer screen. 

WORK STYLES & BEHAVIORS 

• Attention to Detail – Job requires being careful about detail and thorough in completing work tasks. 
• Cooperation – Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude. 
• Initiative – – Job requires a willingness to take or responsibilities and challenges in a fast-paced environment. 
• Persistence – Job requires persistence in the face of obstacles. 
• Adaptability / Flexibility – Job requires being open to change to considerate variety in the workplace. 

Note: This job description is not intended to be all-inclusive. Employees may perform other related duties as requested to meet the ongoing needs of the organization.  

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

PowerGrid Services, LLC is an equal opportunity employer.