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Trak Staffing Services, Inc

Claims Specialist

Career Insights for Claims Adjuster / Specialist (General)

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Based on Ohio data

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What they do

A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.

$73,351 / year median in Ohio

+14% projected growth

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Job Description

Claims Specialist Trak Staffing Services, Inc - 5.0 Blue Ash, OH Job Details Full-time | Contract $20 - $24 an hour 22 hours ago Benefits Life insurance Qualifications Financial services
Full Job Description Salary:
$20 - 24 per hour
Reference:
JOB-13824
Claims Specialist Setting/Hours:
100% In-Office | 8-5/9-6 weekly rotation Client Summary Our client is a well-established and highly respected leader in the financial services industry, specializing in products that help families plan for future funeral expenses and Medicaid eligibility. Known for its stability, strong company culture, and continued growth, the organization has earned recognition as one of the region's top workplaces and has built a reputation for providing exceptional employee benefits and long-term career opportunities. Key Responsibilities Claims Administration Manage the complete life insurance claims process from claim initiation through payment. Collect and review required documentation, including proofs of death and supporting claim information. Calculate claim benefits in accordance with policy provisions and state regulations. Prepare claim files, supporting documentation, and claim processing records. Verify claim payments and prepare journal entries for Accounting approval. Process policy terminations and update policy administration systems with claim information. Maintain accurate electronic claim files and support audit readiness. Update claims tracking documentation and pending claims reports. Follow up on outstanding documentation to ensure timely claim resolution. Customer Service Respond to inquiries from policyholders, agents, funeral homes, and beneficiaries regarding claims. Calculate and communicate claim benefits and policy information. Answer the main customer service line and provide professional, timely support. Conduct policy research and resolve customer questions accurately. Deliver a high level of customer service while handling sensitive situations with professionalism and empathy. Compliance & Quality Ensure claims are processed in accordance with policy provisions and applicable state regulations. Conduct claim investigations and assist with recommendations regarding policy rescissions when appropriate. Maintain complete, accurate documentation supporting all claim decisions. Support internal audits and quality assurance initiatives. Qualifications Associate's degree or equivalent work experience required. Previous experience in financial services required. 3-5 years of life insurance claims or policy administration experience preferred. LOMA coursework or certification is a plus. Strong clerical skills with exceptional attention to detail. Experience with data entry and claims processing. Excellent customer service and telephone communication skills. Strong written and verbal communication skills. Proficiency with Microsoft Office applications. Ability to work independently in a fast-paced environment while managing multiple priorities. Strong organizational, analytical, and problem-solving skills. Ideal Candidate Profile Detail-oriented professional who enjoys working with complex documentation and financial transactions. Customer-focused individual who communicates with empathy and professionalism. Self-starter who works independently while maintaining a high degree of accuracy. Organized problem solver who can effectively prioritize multiple claims and deadlines. Team player committed to delivering exceptional service and maintaining compliance with company policies and regulatory requirements. #SHARED