We are seeking an experienced specialist to support our injury and litigation claims operations. This role plays a key part in claim intake support, document interpretation, classification, and workflow coordination within the casualty claims environment. The ideal candidate has prior claims processing experience, demonstrates strong reading comprehension and analytical ability, and can independently determine appropriate next steps based on claim-related documentation and requests. This role requires a high level of accuracy, judgment, and adaptability in a fast-paced environment with evolving priorities and multiple claim system inputs.
Key Responsibilities:
- Review, interpret, and process incoming claim-related documents and attorney/legal correspondence related to bodily injury claims, determining appropriate categorization and claim handling actions
- Accurately index, route, assign, and attach documents within the claims management system to ensure complete and accurate claim files
- Assign bodily injury claims to appropriate casualty adjusters based on guidelines, complexity, and workload distribution
- Identify and escalate time-sensitive or high-impact legal and claim documents (e.g., letters of representation, demands, lawsuits, filings)
- Draft emails, letters, and routine to semi-complex written communications on behalf of adjusters and claims personnel, including correspondence to attorneys, claimants, and internal stakeholders
- Support workflow management to ensure timely claim progression and adherence to internal service standards and SLAs
- Create, run, and interpret operational and claims-related reports to support workload management and tracking
- Communicate with internal teams (adjusters, litigation, and support units) to clarify document intent, resolve discrepancies, and support claim handling activities
- Provide cross-functional support to other auto claims units based on business needs and workload demands
- Maintain strict confidentiality and comply with all regulatory, legal, and company guidelines