About The Role

About the Role

The Claims Department is responsible for the efficient administration of the initial post-filing phase of a claim — the period during which insurance carriers are actively investigating. This includes correctly setting up claims with carriers, obtaining claim numbers and status updates, conducting employment and coverage investigations, and filing amendments to applications with the court.

The Claims Department Senior plays a key role in keeping the department running smoothly and efficiently. This person audits case workflows, leads solutions on flagged issues, mentors team members on process and strategy, and manages the department's shared inbox to ensure nothing falls through the cracks. This is a hands-on leadership role for someone who thrives on solving problems and keeping high-volume work moving.

Key Responsibilities

Workflow Audits & Case Solutions

Conduct daily audits of cases in workflows to identify bottlenecks, errors, or stalled matters
Lead and implement solutions to move flagged cases forward
Track recurring issues and recommend process improvements

Supervisor Collaboration

Meet weekly with the Claims Department Supervisor to review audit findings
Discuss and help develop administrative strategies to advance matters efficiently

Team Mentorship

Serve as a go-to resource for team members' questions on claims processes and procedures
Coach team members on administrative strategies for resolving common issues
Help onboard and train newer staff as needed

Department Inbox Management

Review and triage the department's shared inbox
Identify required actions and assign or complete them promptly
Ensure all inbox items are tracked through to completion

Core Claims Functions

Set up claims correctly with insurance carriers
Obtain and track claim numbers and claim statuses
Conduct employment and coverage investigations
Prepare and file amendments to applications with the court

Other

Other duties as assigned by supervisor
Strong problem-solving skills and sound judgment under time pressure
Fast learner, comfortable picking up new systems and processes quickly
Proven ability to manage high-volume caseloads without sacrificing accuracy
Critical thinker who can identify root causes, not just symptoms
Bilingual (English/Spanish) required
Comfortable mentoring and supporting colleagues
Strong organizational skills and attention to detail
Prior insurance claims experience helpful, but not required

What Success Looks Like

A strong Claims Department Senior keeps cases moving through the post-filing claims administration phase without unnecessary delay, catches issues before they become bottlenecks, and helps the whole team get better at solving problems — not just this week's problems, but the patterns behind them.

Benefits

Our law firm offers eligible employees a comprehensive benefits package that includes medical, dental, and vision insurance coverage. We also provide eligible employees with flexible time off plans, including Paid Time Off (PTO) and paid holidays.