skip to Main Content

Claims Associate Job Description

What does a Claims Associate do?

A Claims Associate is responsible for handling insurance claims from start to finish. They work for insurance companies, healthcare providers, or other organizations that receive claims and must verify their accuracy and completeness. Their duties include receiving claims, checking policies and procedures, investigating claims, approving or denying reimbursement, and communicating with customers regarding the status of their claims. They also maintain records, prepare reports, and participate in training sessions to keep up with industry trends and changes. A Claims Associate must have excellent communication skills, attention to detail, and the ability to resolve conflicts and work under pressure.

Our Claims Associate job description includes the Claims Associate responsibilities, duties, skills, education, qualifications, and experience.

Claims Associate Example

Our Job Advertising Packages

Choose the best package, edit the advert and post your job!

Indeed Sponsored
Google Jobs
LinkedIn Jobs
Guardian Jobs
Industry boards
CV Targeting*
many more
Job Advert Package + Flat Fee Recruitment Services
CV Filtering
Video Interviewing
Interview Scheduling

If you need an example job description for a Claims Associate download the one below, alternatively we have many other Banking and Insurance job description samples and a job description library with over 3000 job descriptions templates that you can download for free.

What does a Claims Associate do?

The Claims Associate is a customer-focused professional responsible for processing and resolving claims across a range of products and services. Working closely with customers and other stakeholders, the Claims Associate will investigate and assess claims in a timely and accurate manner. Their primary duties include reviewing customer documents and information, responding to customer inquiries, and ensuring the timely and accurate resolution of customer claims. The Claims Associate must have excellent problem-solving skills, be highly organized, and have excellent customer service skills.

Claims Associate Role Purpose

The purpose of a Claims Associate is to provide administrative and customer service support to customers filing insurance claims. This role involves helping customers understand their insurance policies and the claims process, gathering the necessary information for a claim, and liaising with insurers to ensure claims are processed efficiently and fairly. The Claims Associate must be knowledgeable about insurance policies and the legal requirements for filing a claim, and should be able to provide accurate advice to customers. They must also be able to handle customer complaints and queries in a professional manner.

Claims Associate Role

Claims Associate is a role responsible for providing administrative support to clients in the insurance industry. The role involves handling incoming claims, gathering and documenting relevant information, and ensuring the timely processing of claims. The Claims Associate is also responsible for following up on claims, resolving customer complaints, and providing general customer service.

Claims Associate Duties

  • Provide customer service to claimants
  • Assist in the claims process and documentation
  • Analyse claims data and identify trends
  • Assist in the resolution of complex claims issues
  • Liaise with relevant external parties

Claims Associate Requirements

  • Excellent communication and customer service skills
  • Ability to work independently and as part of a team
  • Strong analytical and problem solving skills
  • Ability to work accurately with good attention to detail
  • Proficient in Microsoft Office
  • Experience in handling insurance claims

Claims Associate Skills

  • Strong communication and interpersonal skills
  • Excellent customer service and organisational skills
  • Ability to work independently as well as part of a team
  • Ability to work to deadlines and manage workloads
  • Ability to interpret legal documents

Claims Associate Personal Traits

  • Good communication skills
  • Ability to work effectively in a team
  • Ability to work under pressure
  • Organisational and problem solving skills
  • Excellent attention to detail

How to write a Claims Associate Job Advert

Use our job advert template to write a job advert for posting on job sites and job boards. Our job advertising templates are carefully created to help you reach your audience and beat the competition to the best talent.

A job description informs the reader about a job, whereas a job advert’s main objective is to sell the job opportunity to attract as many suitable applicants possible. A job advert maybe the first touch-point a candidate has with your company so it is important to create a great impression.

Job Advertisements should enticing, so considering using short, exciting language which get the reader’s attention.

How to write a Claims Associate Job Description

To write a job description, we recommend starting with a job description template from our job description library, which contains examples for 800+ positions and professions. Our job description examples include a job summary with duties and responsibilities and skills and requirements, which can be personalised for your job vacancy.

Job Description Advice - Guidance on How to Personalise a Claims Associate Job Specification

The hiring process and recruiting new employees to fill your key roles requires a degree of personalisation if you are to attract the best employees in a competitive employment market. The right person for a crucial role or more senior roles will likely have other employers targeting them. As your job description will be the first point of contact, you need to nail your pitch and provide the best possible service.

Job Description Tips - Help on formatting a Claims Associate Job Specification

When creating your bespoke description and advert, you should cover and promote these points:

Job title: This should accurately reflect the role and include keywords that top talent might be using to search for jobs.

Job duties: The day to day duties, such as administrative tasks, which vary depending on the company and inform the candidate if they can complete the role.

Technical skills: These are the hard skills required through training, such as proficiency with Microsoft Office.

Soft skills: These include the interpersonal skills and general abilities the right candidates will possess. For example, the competency to prioritise multiple tasks, handle customer queries and customer complaints, work alone, or build a good relationship with coworkers.

The company's culture: Highlighting your company culture and values ensures employees thrive and find outstanding job satisfaction. Candidates that are not the right fit won’t waste their time completing the application process, meaning you can focus on qualified individuals and hire in a more timely manner.

Career progression: Including the career path will entice candidates looking for career growth. 

Training and development programs: Smaller companies may need employees with previous experience or provide educational assistance over internal training offered by larger organisations with more significant resources. 

Employee benefits: Compensation and benefits often fail to appear in job ads and while you may want to hold your cards close to your chest, failing to include them is a mistake. Consider answering common questions, such as working hours and paid leave. Researching the average salary for the role in these early stages will ensure you don’t waste your interviewer’s and the candidate’s time.

Skill gaps: Your company may need to bring in new skills beyond those required to complete the key role and duties. Thinking on an organisational level can be beneficial when contemplating skills diversity.

Legal requirements: Ensure your job advert and description does not ask for inappropriate or discriminatory personal details, such as age, marital status, or religion.

How to Hire a Claims Associate

Once you have selected your Job Description download it or convert it to a Job Advert. From here you can post/advertise your job across our network of job boards. If you wish to use the job description for a CV Template click through for advice and Convert to a CV

Back To Top