Job description

We are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. This position is a full-time, in-office position located at our Rutherford, NJ, headquarters.

Key Responsibilities:

Initial Claims Setup:
- Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description).
- Enter claim details into the system, including policy info, loss type, incident description, and the claimant’s description of the event.
Policy Verification:
- Cross-check claim details against the policy to verify effective dates of coverage.
- Confirm policy and coverage details are accurately entered into the system.
- Confirm appropriate client contact is attached to the policy
Assign Adjuster & Set Diary Notifications:
- Assign the claim to the appropriate adjuster and supervisor.
- Set adjuster diaries with new claim notifications and necessary actions.
Claims Acknowledgement Letters:
- Generate and send acknowledgement letters as per client instructions.

Skills and Qualifications:

High attention to detail for accurate data entry and policy verification.
Ability to assign claims and set appropriate reminders.
Familiarity with claims management systems (or willingness to learn).
Basic insurance knowledge is a plus but not required.
Strong organizational and time management skills.

Company Overview:
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claim’s organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!

As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities!

Benefits and Perks:
We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.

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