Claims Operations Associate

Position Overview

The Claims Operations Associate serves as the backbone of the claims handling process, managing property damage claims from intake through resolution. This role blends technical claim file work, client communication, carrier negotiation, and internal support functions to ensure claims move efficiently and clients receive the highest standard of service.

Key Responsibilities

Claims Handling:
✅ Manage a portfolio of open property damage claims through the entire claims lifecycle
✅ Review contracts, scopes, estimates, and supporting documentation for claim submission
✅ Draft and send communications to insurance carriers and third parties
✅ Monitor claim deadlines and carrier responses to ensure timely progress
✅ Negotiate settlements with insurance carriers under direction of company guidelines

Client Communication:
✅ Serve as a primary point of contact for clients throughout the claims process
✅ Provide regular updates on claim status, next steps, and key milestones
✅ Maintain accurate notes and documentation of all client interactions

Operational Support:
✅ Coordinate inspections and field activities with Field Adjusters
✅ Organize and maintain electronic claim files to firm standards
✅ Assist with invoicing and settlement tracking once claims are resolved
✅ Flag claims requiring management review, escalation, or appraisal/legal referral

Internal Collaboration:
✅ Work closely with the Executive Team, Field Adjusters, and Admin Support
✅ Actively participate in team meetings and contribute to process improvements

Ideal Candidate Profile

This is an entry level position but preference will be given to candidates with experience in claims adjusting, insurance, restoration, or a similar field (public adjusting experience preferred but not required)

Strong organizational skills and attention to detail

Excellent written and verbal communication skills

Ability to manage a high volume of claims while maintaining quality and responsiveness

Proficient with CRM systems, Microsoft Office (Word, Excel, Outlook), and cloud-based file management

Calm under pressure and solution-oriented in a fast-moving environment

Independent, resourceful, and committed to helping clients through difficult situations