Operations Specialist, Claims

Job Summary

Under supervision, reviews claim documentation for adherence to compliance standards and adjudicates claims based on regulatory guidelines.

• Verifies loan/claim information for completeness and accuracy
• Reviews data for errors, inconsistencies, or discrepancies and makes appropriate corrections
• Performs data entry reviews to verify that promissory notes are valid, dollar amount claimed is correct and the loan is entered into repayment timely
• Confirms that interest rate is accurate and interest amount requested is correct; inconsistencies that relate to due diligence by the Servicer are noted and penalized, if applicable.
• Reviews specialty claims to ensure appropriate documentation is added to the claim.
• Adjudicates claims for approval, returns to appropriate servicer or denial.
• Writes return or denial letters to the lender or servicer.
• Performs other duties and responsibilities as assigned.

• High School degree or GED
• 2+ years of relevant work experience
• Basic math skills while completing daily work responsibilities
• Basic proficiency in Microsoft Office suite

• 1 year of experience reviewing claims

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The hourly pay range for this position is $19.00 - $22.50. Actual compensation may vary based on factors such as relevant experience, peer and market benchmarks, and geographic location. This position is classified as hybrid and requires attendance on designated in-office days.

• Health & wellness benefits:
  Medical, dental, and vision insurance plan options, with a generous employer subsidy. Company paid life & disability insurance, pre-tax flexible spending accounts and robust wellness programs.
• Financial benefits:
  
  Generous 401(k) plan with a company match up to 6% and additional discretionary contribution potential, holiday time off, paid time off accrual starting at 20 days/year and commuter subsidy.
• Education benefits:
  Tuition reimbursement up to $10,500/year for approved programs and student loan payment reimbursement up to $4,800/year. Up to $5,250 of qualifying education benefits can be reimbursed pre-tax.