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Insurance Claims Specialist at ReWorks Solutions

, , South Africa -

Full Time

Start Date

Immediate

Expiry Date

25 Jun, 26

Salary

0.0

Posted On

27 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Review, Documentation Submission, Liaison, Policy Interpretation, Record Keeping, Client Communication, Issue Identification, Escalation, Regulatory Compliance, Reporting

Industry

Outsourcing and Offshoring Consulting

Description

Job Title: Insurance Claims Specialist Job Type: Full-Time, Remote Working Hours: US Hours (9am-5pm EST) Key Responsibilities Serve as the main point of contact for clients, providing guidance and updates throughout the claims process Review and submit claims documentation to insurance carriers, ensuring completeness and accuracy Liaise with adjusters, carriers, and third-party vendors to track claim progress and advocate for clients Follow up on open claims, ensuring timely movement and resolution Interpret policy coverage and explain claim outcomes to clients in a clear, professional manner Maintain detailed and accurate records in agency management systems Assist clients with gathering required documentation such as incident reports, photos, and estimates Identify potential coverage issues and escalate complex claims to senior team members Ensure compliance with U.S. insurance regulations and internal procedures Support reporting on claims status, trends, and performance metrics 2+ years experience in U.S. Property & Casualty insurance claims (brokerage or carrier side) Familiarity with agency management systems Excellent written and verbal communication skills Strong attention to detail and organizational skills Ability to manage multiple claims simultaneously in a fast-paced environment Ability to work U.S. hours Comfortable working U.S. hours Remote work from home Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

Responsibilities

The specialist will serve as the main client contact, guiding them through the claims process, reviewing and submitting necessary documentation to carriers, and tracking progress by liaising with adjusters and vendors. They must also interpret policy coverage and maintain accurate records in agency management systems.