Claims Coordinator

Job Description

Job Description

About Us

Keystone started in 1983 when four independent insurance agencies teamed up to pool their experience and expertise. Today, that passion and spirit that started Keystone continues. Growing to over 300 independent agency partners, Keystone provides its agents with a community of like-minded agencies, industry expertise, and access to specialized products for their clients. For insurance carriers who want to develop relationships with independent agencies, Keystone offers a network of quality independent agencies and an innovative approach that aims to tap new markets and develop new products. For individuals, families, and businesses that are looking for insurance coverage and financial services, Keystone offers a consultative approach to help independent agents develop the right coverage for their clients’ needs, with specialized pricing and coverage from insurance carriers.

Keystone’s Risk Management division empowers agencies with a dedicated team of safety, claims, and HR experts who collaborate on strategies to improve injury prevention, claim outcomes, and compliance.

Claims Coordinator

Position Summary:

The Claims Coordinator provides support to clients and the internal claims team with new claims intake, claims reporting, and ensures client information is accurate in the CRM system. This role serves as a liaison between clients and Keystone internal stakeholders, helping to ensure efficient processes and a high level of service delivery.

Key Responsibilities:

• Manage new claims intake, including carrier filing, Salesforce setup, and assignment to a Claims Consultant.
• Coordinate loss run requests on a monthly basis; review for accuracy and completeness against open and closed claims in Salesforce, and email updates and notifications to Claims Consultants.
• Support the onboarding process for new clients.
• Oversee Workers’ Compensation (WC) panel management, including requesting new client physician panels, maintaining updates, storing documentation in client folders, emailing client postings and client panel renewal updates.
• Track and update WC policy renewal information within Salesforce.
• Distribute incoming claims-related faxes to the appropriate team members.
• Process claims medical bills by submitting to carriers and maintaining proper documentation within claims folders.
• Perform additional duties as assigned by the Director of Claims.

Qualifications:

• High School Diploma or equivalent required
• Prior claims experience within the insurance industry highly desired
• Strong computer skills; proficiency in Microsoft Office Suite and CRM systems
• Excellent interpersonal and relationship-building skills
• Strong verbal and written communication skills
• Exceptional organizational and time management skills with a keen attention to detail
• Ability to manage multiple priorities in a fast-paced, dynamic environment
• Demonstrated flexibility and adaptability
• Ability to build and maintain effective working relationships with clients and internal teams
• Employment is contingent upon successful completion of a criminal background check, as permitted by law

Hours: Monday-Friday, 8:00am-5:00pm EST

Office Location: 7562 State Route 30, Irwin, PA 15642 (Hybrid Work Options Available)

Benefits:

• Competitive Compensation
• Health Insurance Plans (PPO, HSA, Copay Options)
• Dental Insurance
• Vision Insurance
• Company Paid Disability Insurance
• Supplemental Insurance including Critical Illness, Accident, Legal, Pet Insurance
• 401(k) with Safe Harbor Match
• Paid Time Off
• Paid Holidays

No Solicitation Notification to Agencies: Please note that Keystone and our Partner Agencies do not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, Keystone will not consider or approve payment to any third parties for hires made.