Insurance Claims and Policy Processing Clerk

About the job

Job Title: Insurance Claims and Policy Processing Clerk

Job Type: Contract

Location: Remote

Job Summary

Join our customer's dynamic team as an Insurance Claims and Policy Processing Clerk , where your expertise in insurance operations will help shape the future of AI-powered solutions. In this unique hybrid role, you will process insurance claims and policies while also providing hands-on feedback to AI systems, ensuring accuracy and compliance. Engage with both technology and people to drive innovation in a remote, flexible environment.

Key Responsibilities

• Prepare insurance claim forms and related documents, reviewing them for completeness and accuracy.
• Calculate claim amounts in accordance with policy terms and company standards.
• Post or attach relevant information to claim files, ensuring thorough documentation.
• Transmit claims for payment or further investigation as needed, following internal protocols.
• Contact insured individuals or other involved parties to gather missing or additional information.
• Collaborate closely with the AI development team, providing structured feedback to enhance claims- and policy-related AI models.
• Utilize excellent written and verbal communication to document real-world scenarios and clarify insurance terminology for AI training purposes.

Required Skills and Qualifications

• Proven experience processing insurance claims and policies, with a strong understanding of related workflows.
• Exceptional written and verbal communication skills, with a keen attention to detail.
• Ability to analyze documents for completeness and accuracy.
• Comfortable working remotely and utilizing digital collaboration tools.
• Strong organizational and time management abilities.
• Proficient in navigating insurance software and document management systems.
• Demonstrated commitment to operational integrity and customer care.

Preferred Qualifications

• Previous experience working with or training AI, machine learning models, or process automation tools.
• Knowledge of regulatory requirements and compliance in the insurance sector.
• Experience in customer service or claims investigation roles.