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Claims Customer Service Manager
battleface. Lead and manage the Claims Customer Service team with day-to-day oversight, direction, and support .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing customer service teams within the insurance sector, focusing on claims operations, performance improvement, and multichannel service delivery. Proficient in developing training programs, implementing technology solutions, and ensuring high-quality customer interactions.
Highest-signal resume keywords
Insurance Customer Service ExperienceClaims Operations ManagementPeople ManagementCRM ProficiencyTraining Program Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessesPolicy BenefitsDocumentation RequirementsCustomer CommunicationsPerformance ImprovementOperational Data InterpretationKPI MonitoringQuality Assurance ProgramsEscalation ManagementProblem-Solving
Soft Skills
Excellent Communication SkillsOrganizational SkillsAttention to DetailSound JudgmentIndependent Decision-Making
Tools & Technologies
CRM PlatformsContact Center SoftwareTicketing SystemsClaims Management PlatformsAI-Assisted Tools
Industry Keywords
Insurance Claims AdministrationTravel InsuranceMedical AssistanceCustomer Service OperationsMultichannel Customer Service
About the role
Key responsibilities & impact- Lead and manage the Claims Customer Service team with day-to-day oversight, direction, and support
- Establish expectations for service quality, productivity, professionalism, and accountability
- Develop and deliver onboarding, training, coaching, performance reviews, quality assessments, and development sessions
- Support recruitment, workforce planning, scheduling, and service coverage
- Oversee customer interactions across telephone, email, live chat, and other digital channels
- Ensure accurate, timely, and consistent responses to policyholders, claimants, brokers, and insurance partners
- Monitor service levels, response times, call handling, case resolution, and customer satisfaction
- Manage escalated inquiries, complex claims questions, and service complaints
- Coordinate with Claims Adjusters, Medical Assistance, Operations, and other departments to resolve customer issues
- Identify complaints, service failures, bottlenecks, and knowledge gaps, and implement corrective actions
- Manage customer service technology, workflows, automation, routing, case management, and operational efficiency
- Work with IT, Product, and Engineering to troubleshoot issues and implement technology improvements
- Help develop and implement AI-assisted tools
- Maintain accurate customer records, interaction histories, and claims information
- Develop standard operating procedures, training materials, and knowledge resources
- Establish and maintain quality assurance programs for calls, emails, and chats
- Monitor KPIs and provide reporting and recommendations to senior management
- Implement measurable performance improvement plans and maintain consistent standards across teams, shifts, and locations
Requirements
What you’ll need- 5+ years of experience in insurance customer service, claims operations, or a related financial services environment
- 3+ years of people management experience, ideally leading customer service or claims support teams
- Strong understanding of insurance claims processes, policy benefits, documentation requirements, and customer communications
- Experience in travel insurance, medical assistance, or insurance claims administration is strongly preferred
- Experience managing multichannel customer service operations, including telephone, email, and live chat
- Strong technical proficiency with CRM, contact center, ticketing, and claims management platforms
- Ability to interpret operational data, identify trends, and translate findings into measurable improvements
- Experience developing training programs, coaching employees, and managing team performance
- Excellent written and verbal communication skills, including explaining complex insurance matters clearly
- Ability to handle escalations, difficult conversations, and sensitive customer situations
- Strong organizational skills and attention to detail
- Ability to manage competing priorities
- Sound judgment and independent decision-making
- Practical problem-solving approach
- Comfort managing geographically distributed teams in a fast-paced, technology-driven environment
Benefits
Comp & perks- Remote position with flexibility
- Opportunity to shape Claims Customer Service operations
- Opportunity to introduce better technology and develop people
- Opportunity to directly influence the customer experience delivered to travelers worldwide
- Global team environment
- Professional development through onboarding, training, coaching, and individual development sessions