Virtual Assistant

Virtual Insurance Claims Adjuster Assistant

Looking to hire your next Virtual Insurance Claims Adjuster Assistant? Here’s a full job description template to use as a guide.

About Vintti

Vintti is a forward-thinking staffing agency at the forefront of global talent solutions. We specialize in connecting US-based SMBs, startups, and firms with highly skilled professionals from Latin America. Our innovative approach breaks down geographical barriers, allowing businesses to tap into a rich pool of diverse talent while offering Latin American professionals access to exciting international career opportunities. Vintti builds bridges across continents, fostering cultural exchange and driving business growth through strategic staffing solutions.

Description

A Virtual Insurance Claims Adjuster Assistant is a remote role focused on supporting claim adjusters in evaluating and processing insurance claims. This position involves gathering and organizing claim information, communicating with claimants and relevant parties, and assisting in the assessment of the legitimacy of claims. By leveraging digital tools and virtual communication platforms, the assistant ensures efficient workflow and accurate documentation. This role is essential for maintaining thorough records, expediting claims processing, and enhancing customer service while working in a dynamic, fast-paced environment.

Requirements

- High school diploma or equivalent; Associate’s or Bachelor’s degree preferred
- Previous experience in insurance, claims adjusting, or a related field
- Strong organizational and time management skills
- Excellent communication skills, both written and verbal
- Proficiency in claims management systems and Microsoft Office Suite
- Ability to handle confidential information with discretion
- Strong attention to detail and accuracy
- Customer service-oriented with a professional demeanor
- Ability to work independently and collaboratively in a virtual environment
- Problem-solving skills and the ability to manage multiple tasks simultaneously
- Basic understanding of insurance regulations and policies
- Ability to maintain records and documentation in a digital format
- Conflict resolution skills and the ability to handle challenging situations calmly
- Familiarity with industry terminology and best practices
- Availability to work during standard business hours with occasional flexibility

Responsabilities

- Review incoming insurance claims and documentation for completeness and accuracy
- Enter and update claim information into the claims management system
- Communicate with policyholders to gather necessary information or clarify details
- Coordinate with insurance adjusters to facilitate timely and accurate claim processing
- Verify coverage and policy details to ensure claim eligibility
- Schedule appointments and meetings for adjusters with claimants or other relevant parties
- Prepare and send out routine correspondence and documentation related to claims
- Respond to inquiries from clients, adjusters, and other stakeholders via phone or email
- Assist in investigating claims by gathering relevant information and evidence
- Track and follow up on the status of ongoing claims and required documentation
- Generate and distribute periodic reports on claim statuses and outcomes
- Process and manage claim-related expenses and reimbursements
- Assist in resolving issues or discrepancies related to claims and documentation
- Maintain organized digital files for all claims and related documents
- Stay updated on industry regulations, company policies, and best practices

Ideal Candidate

The ideal candidate for the role of a Virtual Insurance Claims Adjuster Assistant is a highly organized and detail-oriented professional with a strong background in insurance, claims adjusting, or related fields. Possessing a high school diploma or equivalent, preferably supplemented by an Associate’s or Bachelor’s degree, this individual showcases outstanding communication skills, both written and verbal, and demonstrates a high degree of professionalism and integrity. They are proficient in claims management systems, Microsoft Office Suite, and adept at maintaining confidential information with utmost discretion. The perfect fit would be customer service-oriented, empathetic, and patient in interactions with policyholders and other stakeholders, ensuring seamless information gathering and clarification. Technologically savvy and quick to adapt to new systems, they also possess excellent multitasking abilities and a strong aptitude for managing time efficiently. Their proactive, self-motivated nature combined with strong critical thinking and problem-solving skills enables them to handle multiple tasks and challenging situations calmly and effectively. Additionally, this candidate embraces flexibility and adaptability in a changing environment, working independently yet collaboratively within a virtual setup to achieve team goals. Their commitment to accuracy, adherence to procedures, and strong prioritization capabilities set them apart as a reliable and constructive team player, making significant contributions to the overall success of the claims processing team.

On a typical day, you will...

- Review incoming insurance claims and documentation for completeness and accuracy
- Enter and update claim information into the claims management system
- Communicate with policyholders to gather necessary information or clarify details
- Coordinate with insurance adjusters to facilitate timely and accurate claim processing
- Verify coverage and policy details to ensure claim eligibility
- Schedule appointments and meetings for adjusters with claimants or other relevant parties
- Prepare and send out routine correspondence and documentation related to claims
- Respond to inquiries from clients, adjusters, and other stakeholders via phone or email
- Assist in investigating claims by gathering relevant information and evidence
- Track and follow up on the status of ongoing claims and required documentation
- Generate and distribute periodic reports on claim statuses and outcomes
- Process and manage claim-related expenses and reimbursements
- Assist in resolving issues or discrepancies related to claims and documentation
- Maintain organized digital files for all claims and related documents
- Stay updated on industry regulations, company policies, and best practices

What we are looking for

- Detail-oriented with strong accuracy skills
- Reliable and responsible with a strong work ethic
- Proactive and self-motivated
- Excellent multitasking abilities
- Strong interpersonal skills
- High degree of professionalism and integrity
- Empathetic and patient in interactions
- Technologically proficient and quick to adapt to new systems
- Highly organized
- Adaptable and flexible in a changing environment
- Strong critical thinking and problem-solving skills
- Ability to follow procedures and adhere to guidelines
- Strong prioritization capabilities
- Positive and constructive attitude
- Effective team player

What you can expect (benefits)

- Competitive salary range based on experience and qualifications
- Comprehensive health insurance coverage (medical, dental, vision)
- Remote work flexibility with tools and resources provided
- Paid time off (PTO) and holiday pay
- 401(k) retirement plan with company match
- Professional development and training opportunities
- Potential for performance-based bonuses
- Employee wellness programs
- Supportive and collaborative team environment
- Opportunities for career advancement within the company
- Access to industry-specific conference and seminar attendance
- Company-sponsored virtual team-building events and activities
- Reimbursement for work-from-home setup expenses
- Flexible work hours with occasional remote meetings
- Employee assistance programs (EAP) for personal and professional support

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