Job Description
Note: The job is a remote job and is open to candidates in USA. Davies North America is a leader in innovation and professional services within the insurance sector. They are seeking a Claim Manager Assistant I who will handle and process communications in a fast-paced environment, providing exceptional customer service and administrative support to Claim Managers. Responsibilities Provide exceptional internal and external Customer Support in a phone support role Assist insureds, their representatives, and healthcare providers by supporting the processing of highly individualized claim inquiries Professionally and appropriately respond and/or forward inquiries by reviewing the established standards and guidelines Ensure smooth transition of claim while monitoring aging of assigned tasks meeting turnaround time standards Identify and respond to needs of inbound and outbound callers utilizing active listening skills; professionally and appropriately Prepare claims for Claim Manager review and adjudication Process and document the daily administrative activities associated with claim notifications including pending, open, and closed claims, utilizing multiple tabs/screens working within a centralized work que Responsible for input of accurate and detailed data and notes consistently meeting established standards May perform additional duties and/or assist with special projects as required Maintain electronic file management and organization of incoming and outgoing mail including imaging, indexing, classification of documents, file management, etc Critically review all documentation for completeness, credibility, consistency, and order Ability to recognize possible process deficiencies and suggest viable solutions Meet or exceed all established minimum expectations/metrics and goals for the position Meet or exceed standards for productivity and quality as established for the role Appropriately process all confidential information abiding by HIPAA privacy laws Ensure smooth transition of inquiry to appropriate department if/when necessary May perform additional duties as assigned Skills High school degree or equivalent experience required Prior customer service experience required Excellent organizational skills with an eye for detail Proven interpersonal, verbal, telephonic, and written communication skills Must possess a high degree of tact, diplomacy and professionalism when dealing with all types of customers Ability to prioritize work using organizational and decision-making skills Must be detail oriented with ability to work independently as well as be part of a team Solid knowledge of Microsoft Office Products as well as other business-related software Ability to learn new system applications quickly Ability to quickly apply learned principles to specific and unique circumstances Business experience preferred Insurance or medical background preferred Understanding of medical terminology a plus Benefits Medical, dental, and vision plans to support your health and that of your family A 401(k) plan with employer matching Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees Paid holidays Life insurance and short‑term and long‑term disability coverage Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Company Overview We deliver professional services and technology solutions across the risk and insurance market, including claims, underwriting, distribution, regulation, customer experience, human capital, digital transformation and change management. It was founded in 1984, and is headquartered in San Antonio, Texas, USA, with a workforce of 5001-10000 employees. Its website is