Claims Operations Specialist
External
Coalition · Any LocationPrepare for this interview
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About the role
Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks. Opportunities to make an impact with bold thinking are real-and happening daily at Coalition. The Claims Operation Specialist plays a critical role in managing our claims reporting operations. This position is responsible for the overall claims reporting process to our carrier partners including producing accurate claims bordereaux, creating process improvements and performing thorough reconciliations. The ideal candidate will excel at detailed reporting and data reconciliation, and thrive in a fast-paced environment.
Responsibilities
- Own the overall operational process for the production and transmission of accurate, complete, and timely claims bordereaux for carrier partners.
- Elevate claims data into a reliable, decision-driving asset for Finance, Actuarial, and leadership by improving data standards, completeness, and consistency.
- Serve as the operational point of contact for carrier partner BDX inquiries-coordinating responses, root-cause analysis, corrections, and preventive process improvements.
- Drive continuous improvement in data quality and reporting consistency that strengthens trust with carrier partners.
- Oversee claims payment enablement, including invoice processing, reconciliations, and related controls to ensure accuracy, timeliness, and compliance with carrier and regulatory requirements.
- Partner with technology teams to explore and implement Gen-AI and advanced analytics use cases that improve productivity, insight generation, and customer experience.
- Build and maintain operational controls and monitoring to support internal claims audits, carrier partner reviews, and compliance assessments.
- Maintain audit-ready processes, documentation, and evidence to support internal and external reviews.
- Collaborate closely with Claims, Actuarial, Data, Product, and Engineering on strategic initiatives and operational roadmaps.
Requirements
- 4+ years of experience in insurance claims operations, ideally within a high-growth, dynamic environment.
- Excellent data analysis and systems savvy
- Understanding of insurance concepts
- Customer service, creative problem solving mindset
- Salesforce experience a plus
- Advanced Excel and data management skills, with experience handling large datasets
- Experience as a heavy contributor or leader of a cross functional product/process
- Superior written and verbal communication skills
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