Job Opening: Claims Administrator

The Administrator is responsible for the efficient and accurate processing of claims submitted from Inbound discrepancies.

This role involves understanding the inbound process, investigating claim details, submitting claims through vendor and local tools, timely follow-up to resolve open claims, and reporting claim status.

Essential Duties and Responsibilities:

• Claim Intake and Review
• Receive and acknowledge new claims submitted via EWM and operations shortage/overage process
• Validate claim validity through verification and research
• Documentation and Record Keeping
• Log valid claims in local tool for tracking, trending, and accountability purposes
• Enter claims via vendor portal to initiate submission of claim
• Maintain accurate and up-to-date claim files, both electronic and physical
• Document all claim activities, communications, and decisions in the local claims tool
• Ensure compliance with company policies, procedures, and regulatory requirements
• Communication
• Able to communicate with Operations associate, Leadership, vendors, and Maisons
• Strong written communication and email etiquette

• Skills
• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills
• Detail-oriented with a high degree of accuracy
• Proficient in computers, especially Microsoft Office Suite (Word, Excel, Outlook)
• Ability to work independently and as part of a team
• Strong organizational and time management skills
• Ability to prioritize tasks and meet deadlines
• Working Conditions
• Managing claims across 4 departments
• Mobile station with laptop
• Standing for extended periods of time
• Other tasks
• Updating communication boards
• Auditing
• Supply ordering
• Organizing/scanning files
• Running operational reports
• Perform other duties as assigned by the Management team