Claims Process and Operations Specialist

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The Claims Process and Operations Specialist is a key member on the Program Claims Data Analytics team responsible for overseeing the entire lifecycle of all Claims related Program data. This role will actively engage in multiple areas, including the implementation of new Programs, monitoring existing Programs, and handling processes related to support the Delegated Authority and Underwriting Controls division. Additionally, this role will play a critical role in processing data, performing reconciliations, and executing monthly data processes. As a self-starter, you will proactively seek opportunities to innovate, improve processes, and enhance data-driven decision-making.

Key Accountabilities/Deliverables:

• Process and validate data from various sources, ensuring its accuracy, completeness, and adherence to established standards.

• Conduct thorough data reconciliations to ensure accuracy between different datasets and resolve any discrepancies or inconsistencies promptly by working closely with relevant stakeholders.

• Work with the Program directors to improve data collection and evaluate program efficacy.

• Collaborate with cross-functional teams to ensure data accuracy and integrity.

• In addition to the above key responsibilities, you may be required to undertake other duties from time to time as the Company may reasonably require.

• Demonstrate strong attention to detail by meticulously reviewing data, reports, and visualizations to ensure accuracy and consistency.

Technical Knowledge and Understanding:

• Proficiency in MS Excel, Visio, and Power BI.  Knowledge and understanding of Fabric preferred.

• Excellent analytical and problem-solving skills with, with the ability to derive insights from complex datasets.

• Strong attention to detail and ability to deliver accurate results within specified deadlines.

Experience:

• Bachelor’s degree in a technical or business discipline.

• Minimum of 1 year of process execution experience.

• Experience in managing varied priorities concurrently while meeting deadlines and service expectations.

• Experience working with Key Performance Indicators.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.





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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement.  We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program