Insurance Operations Specialist

Summary

Join Coalition as an Insurance Operations Specialist and play a critical role in managing loss fund operations. You will process claims payments, ensure timely payments to vendors, track carrier funding, and maintain comprehensive records. The ideal candidate excels at detailed reporting and data reconciliation and thrives in a fast-paced environment. Responsibilities include developing and enhancing loss fund management processes, onboarding vendors, processing claims payments, preparing reports, reconciling datasets, monitoring fund balances, collaborating with the claims team, and participating in special projects. This position requires 3+ years of experience in insurance claims operations, finance, or accounting, ideally in a high-growth environment. Advanced Excel skills and experience with Netsuite or Coupa are also essential.

Requirements

• 3+ years of experience in insurance claims operations, finance, or accounting roles, ideally within a high-growth, dynamic environment
• Systems experience with Netsuite or Coupa ideal
• Advanced Excel and data management skills, with experience handling large datasets
• Strong analytical skills, with the ability to troubleshoot, analyze data, identify discrepancies, and solve problems independently
• Excellent organizational and time management abilities
• Strong written and verbal communication skills
• Exceptional attention to detail and a high degree of accuracy
• Customer service-oriented mindset

Responsibilities

• Develop and enhance processes for loss fund management, including workflow documentation and process improvement initiatives
• Onboard and support vendors on our internal payment portal to ensure a seamless claims payment experience
• Accurately process and disburse claims payments from the loss fund for all approved claims
• Prepare and submit detailed claims payment reports to carrier partners, meeting all required formats and deadlines
• Reconcile large datasets for payments and claims, proactively identifying and resolving any discrepancies
• Monitor loss fund balances, request additional carrier funding as needed, and maintain thorough documentation of all transactions
• Collaborate with the claims team to ensure payment accuracy and process efficiency
• Participate in special projects to optimize operational processes and support business growth
• Assist with ad-hoc projects, reporting requests, financial audits, and system testing as required

Preferred Qualifications

Experience with vendor onboarding and payment portals is a plus

Benefits

• 100% medical, dental, and vision coverage
• Flexible PTO
• Annual home office stipend and WeWork access
• Mental & physical health wellness programs like Headspace, Lumino, and more!
• Competitive compensation and opportunity for advancement