Claims Support Specialist

About Reserv

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.

Location Requirement

Candidates must reside in an eligible U.S. state throughout employment. We are unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States.

About the role

We are looking for a highly organized and detail-oriented Claims Support Specialist to join our team. This role provides critical administrative and operational support across the claims lifecycle, with a focus on compliance-related data collection, claims administration, reporting, and data integrity. You will work closely with claims adjusters, operations, and leadership, including direct outreach to customers via phone and email, to gather required information, resolve outstanding items, and ensure claims data is accurate and complete.

Please note that this is an hourly, overtime-eligible role.

What you'll do

• Contact customers directly via phone and email to collect compliance-related information needed to support claim handling and regulatory requirements
• Support claims administration by following up on and resolving outstanding items to keep claims moving toward resolution
• Perform high-volume, accurate data entry and maintain claim records, ensuring data integrity across claims systems by reviewing, auditing, investigating, and resolving discrepancies in partnership with adjusters and internal teams
• Support claim reporting activities by validating outputs and ensuring data shared internally and externally is accurate, complete, and submitted on time
• Manage data-related and compliance-related task queues, meeting defined SLAs
• Other duties as assigned

Who You Are

• Detail-oriented to your core, you catch what others miss
• Comfortable and professional communicating with customers by phone and email
• Highly organized and able to manage high-volume, repetitive tasks with accuracy
• Process-driven, with a focus on consistency and standardization
• Accountable and proactive in identifying and correcting data or compliance issues
• Curious and willing to dig into discrepancies to find the root cause
• Comfortable working with systems, data, and reporting tools
• Effective communicator who collaborates well across teams and with external parties
• Motivated and growth-focused, with interest in improving workflows and processes

Qualifications

• High school diploma or GED required
• 1+ year of experience with direct customer contact via phone and email, demonstrating a calm, empathetic approach to supporting customers through the claims process
• 2+ years of experience in a data-focused, administrative, compliance, or customer-facing support role within insurance, compliance, or a similar environment, such as:
• • Claims support or claims data entry
  • Policy administration
  • Database or records management
• Strong attention to detail with a proven track record of maintaining high data accuracy
• Experience with data entry, validation, and reporting processes
• Proficiency with Google Sheets, Excel, and similar tools used for reporting and reconciliation; experience with Looker, Power BI, or similar BI tools is a plus
• Ability to manage high-volume work while maintaining quality and meeting deadlines
• Strong organizational and problem-solving skills
• Clear written and verbal communication skills

Benefits

• Generous health-insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
• Generous family leave policy after 8 months of continuous work
• Work from anywhere to facilitate your work life balance
• Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

Originally posted on Himalayas