[Hiring] Claims Operations Associate @Fresh Prints

Role Description

As a Claims Operations Associate, you will support the end-to-end claims process by ensuring claims are accurately documented, tracked, and communicated. You will work closely with the Head of Claims and Claims Counsel to help deliver timely and efficient claim resolutions for clients. This role is ideal for candidates with prior commercial insurance experience, strong organizational skills, and a high level of accuracy and ownership in execution.

Key Responsibilities

• Provide dedicated operational and administrative support to the Claims team
• Accurately process claim submissions, including gathering and verifying documentation
• Track and monitor open claims to ensure all requirements, deadlines, and subjectivities are met
• Maintain detailed and up-to-date records in claims systems and CRMs
• Communicate professionally with clients, carriers, and internal teams to gather information, provide updates, and resolve inquiries
• Pre-draft emails for the Claims team to support faster communication workflows
• Assist with mod score analysis, loss run analysis, and analytics for monthly claims audits
• Support Work Comp-related email communication (based on experience)
• Prepare claims reports, summaries, and status updates for stakeholders
• Support billing-related processes tied to claims, in coordination with carriers and internal teams
• Organize and track outstanding claim requirements, subjectivities, and compliance needs

Qualifications

• Previous experience in the insurance industry (agency, brokerage, or carrier), ideally in claims operations
• Strong understanding of insurance terminology, claims processes, and documentation requirements
• Experience with insurance management systems and/or CRMs
• Strong attention to detail, accuracy, and organizational skills
• Excellent written and verbal communication skills
• Proactive, reliable, and comfortable taking ownership in a support-focused role
• Ability to work independently in a remote environment and adapt quickly to new processes
• Commercial insurance experience strongly preferred

Requirements

• You will be working 5 days a week, including one weekend day, but will have 2 days off in a row.
• Working hours will be 9am - 6pm EST.
• Location: Philippines (Remote).

Benefits

• Competitive salary
• Opportunity to build valuable skills in the insurance industry
• Stable, long-term remote position
• Supportive team environment with training provided
• Growth potential for high performers