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Claims Service Specialist Job Description

What does a Claims Service Specialist do?

As a Claims Service Specialist, you’ll be responsible for managing insurance claims made by customers. You’ll review each claim to determine its validity and ensure it meets the requirements of the customer’s policy. You’ll liaise with customers to gather all necessary information, answer questions, and explain the claims process. You’ll also work with other departments such as underwriting and actuarial services to ensure all claims are handled efficient and accurately. Your ultimate goal is to ensure that the customer receives prompt and fair compensation for their loss or damage, while minimizing the financial impact on the company.

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

Claims Service Specialist Example

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If you need an example job description for a Claims Service Specialist 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 Service Specialist do?

A Claims Service Specialist is responsible for providing timely and accurate assessment of customer claims, researching and verifying facts and providing helpful customer service. The specialist must be able to make decisions quickly and accurately, and must have excellent communication and problem solving skills. The job entails managing customer cases, researching information and processing claims in an efficient and timely manner. The specialist must also be able to accurately interpret policy and legislative requirements and ensure compliance with them. They must also be able to provide support to other departments within the company.

Claims Service Specialist Role Purpose

The purpose of a Claims Service Specialist is to provide excellent customer service and to efficiently process and administer insurance claims. They are responsible for managing claims from start to finish, including accurately assessing damage, assessing liability, processing documentation, and settling claims. They must also provide accurate and timely advice to customers, and keep accurate records of all claims. Additionally, they must ensure that all claims are settled in compliance with the terms and conditions of the relevant insurance policies.

Claims Service Specialist Role

A Claims Service Specialist is responsible for providing efficient and effective customer service to clients in the processing of their insurance claims. This includes assessing and verifying their eligibility for coverage, investigating and resolving customer inquiries, and following up with customers throughout the claims process. The Specialist must ensure compliance with relevant policies and regulations and ensure that customer service standards are met.

Claims Service Specialist Duties

  • Provide customer service to policyholders and claimants
  • Assist in the processing of claims
  • Monitor and review claims to ensure accuracy
  • Handle customer enquiries and complaints
  • Liaise with other departments to ensure prompt resolution of claims

Claims Service Specialist Requirements

  • Excellent communication and customer service skills
  • Ability to work in a fast-paced and dynamic environment
  • Highly organised with the ability to manage multiple tasks
  • Proficient in the use of computer software
  • Knowledge of insurance processes and regulations

Claims Service Specialist Skills

  • Excellent customer service
  • Attention to detail
  • Strong interpersonal and communication skills
  • Organizational and problem-solving abilities
  • Computer literacy

Claims Service Specialist Personal Traits

  • Excellent communication skills
  • Strong interpersonal skills
  • Ability to work independently
  • High level of problem-solving skills
  • Excellent customer service skills
  • Proficient in computer software

How to write a Claims Service Specialist 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 Service Specialist 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 Service Specialist 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 Service Specialist 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 Service Specialist

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

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