Claims Process Specialist

Join our dynamic team of innovators, creators, and problem solvers! At Frontline Insurance, we're on a mission to Make Things Better! We believe in fostering a collaborative, inclusive, and growth-oriented work environment where every team member can thrive and make a meaningful impact.

At Frontline Insurance we're more than just a workplace – we're a community of talented individuals dedicated to Integrity, Patriotism, Family and Creativity. Join us in shaping the future of Insurance and let's achieve remarkable things together. Your next career adventure starts here!

SUMMARY

This role has day-to-day responsibilities analyzing and helping improve the processes within the claims department, including but not limited to, reviewing processes within the claims management systems to find efficiency gains, and reviewing state statutes to ensure all systems are set up to meet the latest requirements. In addition, the Process Specialist provides support on special projects and other duties as assigned by the Process Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned 

• Generate and Analyze metrics on operational activities within the claims department.
• Complete special projects assigned by the Process Manager

SUPERVISORY RESPONSIBILITIES  

This position has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Strong organizational and task management skills. Strong relationship management and proven experience delivering high level of internal and external customer service. Computer proficiency with strong skills in Microsoft Office applications. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

• High school diploma or equivalent with 1-3 years of experience preferred
• Property claims handling experience· Lean Six Sigma ceritfication
• FL Adjuster License, 6-20, required within 2 months after start date
• Quality assurance, business analyst, and/or project management experience a plus
• Microsoft Excel, GuideWire and/or Claim Center experience
• Proficient in relevant computer applications and call center systems

KEY COMPETENCIES

• Communication skills
• Persuasiveness
• Problem solving
• Adaptability
• Negotiation skills
• Stress tolerance
• High energy level 

LANGUAGE SKILLS

Must possess the ability to read and comprehend detailed instructions, correspondence, and memos as well as write simple correspondence. Must also be able to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

MATHEMATICAL SKILLS Must be proficient with the following: addition, subtraction, multiplication, and division in all units of measure, using whole numbers, common fractions, and decimals. 

REASONING ABILITY

Must be able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Must also be able to deal with problems involving several concrete variables in standardized situations.

CERTIFICATES, LICENSES, REGISTRATIONS - Florida 6-20 Adjusters License is required and may be achieved once employed.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear.  The employee frequently is required to reach with hands and arms.  The employee is occasionally required to stand and walk.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

NOTE:  This is not necessarily an exhaustive list of responsibilities, skills, duties, requirements, efforts or working conditions associated with the job.  While this list is intended to be an accurate reflection of the current job, Frontline Insurance reserves the right to revise the functions and duties of the job or to require that additional or different tasks be performed when circumstances change.

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