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Claims Specialist Job Description

What does a Claims Specialist do?

A Claims Specialist is responsible for assessing and processing insurance claims for various types of clients and industries. They are highly knowledgeable in the terms and conditions of insurance policies and will liaise with clients, insurance adjusters and other relevant parties to determine the validity of the claim. Additionally, they will communicate the outcome of the claims process to the claimant and will ensure that all relevant documentation is completed and submitted in a timely manner. It is a crucial role that involves a high level of attention to detail, analytical thinking, and excellent communication skills.

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

Claims Specialist Example

Searching for Claims Specialist job description examples and samples? Here is the job description of a Claims Specialist:

What does a Claims Specialist do?

A Claims Specialist is responsible for investigating and assessing insurance claims to determine liability and the amount of compensation to be paid. They must have the ability to analyse complex information, make accurate decisions, keep detailed records and provide excellent customer service. They must also be able to work within the relevant regulations and legislation. Additionally, they must have excellent communication skills to ensure accurate and timely communication with customers.

Claims Specialist Role Purpose

The purpose of a Claims Specialist is to manage the processing, investigation and resolution of insurance claims on behalf of clients. They are responsible for assessing the extent of the client's losses, negotiating settlements and verifying the terms of the insurance policy to ensure that the claim is settled correctly. Claims Specialists must be highly proficient in evaluating claims, possess strong communication and interpersonal skills and be able to provide a high level of customer service.

Claims Specialist Role

A Claims Specialist is responsible for managing and processing insurance claims for a variety of customers. They must be knowledgeable about the insurance industry and must possess excellent communication and customer service skills. They must be able to investigate claims, provide advice to customers, and liaise with internal and external stakeholders in order to manage claims efficiently and effectively.

Claims Specialist Duties

  • Identifying, assessing and investigating claims
  • Providing advice and guidance on claims
  • Negotiating settlements
  • Liaising with insurance companies, solicitors and other professionals
  • Maintaining accurate records
  • Handling customer enquiries

Claims Specialist Requirements

  • Excellent communication and interpersonal skills
  • Knowledge of relevant legislation
  • Ability to interpret and apply relevant rules and regulations
  • Ability to investigate and resolve complex issues
  • Strong customer service skills
  • Excellent organisational and time management skills
  • IT literate

Claims Specialist Skills

  • Excellent communication skills
  • Knowledge of legal and insurance processes
  • Ability to work effectively under pressure
  • Strong analytical and problem solving skills

Claims Specialist Personal Traits

  • Strong organisational skills
  • Excellent communication and interpersonal skills
  • Excellent customer service skills
  • Strong problem solving skills
  • Ability to work under pressure

How to write a Claims 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.

How to write a Claims 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.

Job Description Advice - Guidance on How to Personalise a Claims 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 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 Specialist

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