Job Title: Claims Business Consultant (CBC) Technical Assistant
Location: New Haven, CT 06511, Chicago, IL 60606, Troy, MI 48098, Philadelphia, PA 19106
Duration: 6 months Assignment (Possible Temp to Perm depends on performance)
Shift/Hours: 40hours/week, M to F, 8:00am to 4:30pm
Work Model: 5 days per week in office
 
Summary:

• Our award-winning Claims Department has an exciting career opportunity for an individual who enjoys interaction with internal and external customers and has strong custom service, organizational and time management skills.
• The Claim Business Consultant (CBC) Technical Assistant position on our Commercial Insurance CBC Team is an integral role that provides support to the CBC (Claim Business Consultants) staff in all key phases of account management produced from Commercial Insurance.

Major Duties and Responsibilities:
Claim Review Meeting (CRM) Preparation and Organization:

• Determines claims eligible for Claim review criteria by reviewing loss runs, SHI (Special Handling Instructions) and discussions with CBC.
• Distributes e-mail requests to adjusters.
• Maintains a diary system and follows up to ensure 100% return.
• QA’s/reviews Claim Review forms submitted by adjusters.
• Generates CRM list and time schedule and notifies adjusters of scheduled times and call in instructions.
• Collates and distributes complete CRM package to all meeting participants.

Creation & Distribution of Customer Specific Loss Reports and Vendor Reports:

• Prepares activation forms using information from account profile and policy lists.
• Creates customer specific loss reports based on agreed format.
• Prepare customized reports on an ad-hoc basis and distributes reports to all necessary parties.

Data Quality Management:

• Enters location codes (new or updates).
• Monitors claims for correct location codes monthly by reviewing new claims in the Claim system against location code lists.
• Investigates and corrects incorrect location codes.
• Identified using either Dimensions or Claim system correction facilities.
• Monitors fields for accuracy especially if accounts have customized data requirements for GL/Auto and corrects as necessary.

Special Handling Instruction Maintenance:

• Enters new account SHI using SHI template format and taking from CBC produced Word documents.
• Updates SHI on existing accounts as key changes occur.
• Converts existing SHI at renewal to the new template format for SHI.

Report Management:

• Maintain and Distribution various reports integral to CI CBC metrics and service deliverables.
• Catalog material associated with the CI CBC team on shared site.

CBC Database:

• Updates accounts in the database at renewal with new premium/program structure.

Customer Interaction:

• Facilitate, navigate and/or escalate inquiries from internal and external customers.

Skills/Knowledge/Experience:

• 2+ years claims experience preferred.
• Exceptional organizational and prioritization skills.
• Demonstrate proficient skills in the following areas: customer service, written and oral communication, team orientation, analytical and problem-solving skills, demonstration of initiative and follow-through with work assignments.
• Comfortable with Micro Office applications: Word, Excel, and PowerPoint.
• Effective in identifying potential or developing issues consistent with Best Practices and making the appropriate recommendations for solutions.
• Ability to adapt and embrace change and new challenges.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 22.40/hr.