Claims Support Representative (onsite)

Claims Support Representative

The onsite Claims Support Representative is the first point of contact for customers initiating insurance claims. This role is responsible for managing customer inquiries and claim submissions, ensuring accuracy and efficiency in the intake process. This crucial step sets the foundation for the claims management journey and plays a key role in shaping overall customer experience.

Your Impact:

• Customer Interaction: Respond promptly to customer inquiries, address concerns with professionalism, and provide clear guidance throughout the claims filing process. Act as the primary point of contact, ensuring a seamless customer experience until the claim is successfully submitted to the carrier for processing.
• Claim Processing: Receive, review, and process insurance claim documents for carriers, ensuring accuracy and compliance with company policies and procedures. For certain carriers, this role involves directly entering benefits into their CRM system, requiring meticulous attention to detail and a high level of accuracy.
• Policy Interpretation: Serve as the subject matter expert beyond the initial frontline Customer Service role, providing in-depth interpretation of customer policies and coverage. Accurately assess claim eligibility and determine applicable coverage, ensuring clarity and compliance with company guidelines.
• Record Keeping: Ensure precise and up-to-date records of all claims, communications, and resolutions, maintaining compliance with company policies and industry regulations.
• Documentation: Accurately document all claim-related activities and interactions, adhering to company procedures to support transparency, efficiency, and seamless claims processing.
• Communication: Demonstrate professionalism and clarity in all interactions, effectively engaging with carriers, internal Client Executives, and external customers. Foster strong relationships through active listening, precise communication, and a service-oriented approach. Adapt communication style to suit diverse audiences, ensuring transparency and understanding in all claim-related discussions. Maintain a collaborative and solution-focused mindset to facilitate seamless coordination and efficient claims processing.

Successful Candidates Will Have:

• Education: High school diploma or equivalent required; associate's degree preferred.
• Experience: 1-3 years of customer service, insurance, or claims-related experience preferred.
• Skills: Strong communication and interpersonal skills; excellent attention to detail and data accuracy; ability to multitask in a fast-paced environment; proficiency in claims management systems and office software; knowledge of life and health insurance policies and terminology.

At One80 Intermediaries, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including, for eligible employees, medical, dental, vision, disability, life, and retirement savings. Also, for eligible employees, the Company offers 10 to 20 vacation days depending on experience and generally offers 11 paid holidays and 5 half days, depending on the calendar year. The total compensation for a position may also include other elements dependent on the position offered. The estimated base pay range for this position is $17.50 per hour plus annual discretionary bonus. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience.

One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2024, One80 Intermediaries was ranked the 14th largest broker in the U.S. by Business Insurance. In 2025, One80 Intermediaries earned the Great Place To Work® Certification™ for the second consecutive year.

One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.