Claim Manager Assistant I (Remote)

Our Story Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America , we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

What's in Store The Claim Manager Assistant I (CMA I) is responsible for handling and processing a variety of incoming and outgoing communications in a fast-paced office environment facilitating timely and accurate claim determinations.

Requirements

from Insureds, physicians, and care providers. The CMA I is responsible for providing superior telephonic customer service to insureds and their representatives, as well as administrative support to Claim Managers. 1) Provide exceptional internal and external Customer Support in a phone support role Assist insureds, their representatives, and healthcare providers by supporting the processing of highly individualized claim inquiries Professionally and appropriately respond and/or forward inquiries by reviewing the established standards and guidelines Ensure smooth transition of claim while monitoring aging of assigned tasks meeting turnaround time standards Identify and respond to needs of inbound and outbound callers utilizing active listening skills; professionally and appropriately 2) Prepare claims for Claim Manager review and adjudication Process and document the daily administrative activities associated with claim notifications including pending, open, and closed claims, utilizing multiple tabs/screens working within a centralized work que Responsible for input of accurate and detailed data and notes consistently meeting established standards May perform additional duties and/or assist with special projects as required 3) File management and organization Maintain electronic file management and organization of incoming and outgoing mail including imaging, indexing, classification of documents, file management, etc.

Benefits

At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees.

package includes: Medical, dental, and vision plans to support your health and that of your family A 401(k) plan with employer matching Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO)