Specialty Claims Coordinator

Tokio Marine HCC

. Assist the Specialty Claims Manager in the efficient operation of the department through administrative and support functions .

Posted 11/6/2026full-timeFlorida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing department workflow and processing referrals while maintaining accurate records and reporting. Proficient in utilizing Microsoft Office tools for data management and analysis, with strong communication and organizational skills.

Highest-signal resume keywords

Department Workflow ManagementMicrosoft Office ProficiencyData Entry and ReportingCustomer Service SkillsProblem-Solving Abilities

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryCost Containment ActivitiesClaim Re-PricingDatabase ManagementReport PreparationWorkflow ProceduresAccounts Receivable ManagementHealth Coverage Plans KnowledgeInsurance Policies UnderstandingAnalytical Skills

Soft Skills

Written CommunicationVerbal CommunicationOrganizational SkillsTact and DiplomacyMultitasking Ability

Tools & Technologies

Microsoft ExcelMicrosoft AccessMicrosoft PowerPointMicrosoft Word

Industry Keywords

Specialty ClaimsCost SavingsReferral ProcessingClient EducationVendor Management

About the role

Key responsibilities & impact

Assist the Specialty Claims Manager in the efficient operation of the department through administrative and support functions
Oversee and manage department workflow for efficient processing of referrals
Maintain databases and spreadsheets recording and reporting cost containment activities, claim re-pricing, related expenses, data entry, updates, results, and cost savings
Process referrals and questions
Educate clients and provide customer service
Determine additional information needed from producers, vendors, and providers and follow up on missing information
Conduct general problem-solving for internal and external clients
Screen all incoming calls to the department
Review Specialty Claims referrals for accuracy and provide necessary look-up codes
Process referrals to outside vendors and track results
Maintain accurate and up-to-date records
Prepare and distribute monthly internal and external ad hoc reports
Assist with preparing and updating policies and procedures for workflow between departments and vendors
Maintain a department expense log and resolve accounts receivable issues
Keep the department manager informed of accounts receivable or expense concerns
Access Actuarial, Underwriting, and Marketing resources to help attain business goals
Understand and interpret employer health coverage plans and excess insurance policies

Requirements

What you’ll need

5 years of relevant and progressive experience in area of specialization
Knowledge of principles, practices, and procedures, with ability to apply that knowledge
Solid written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
Advanced organizational and analytical skills
Demonstrated ability to manage multiple tasks simultaneously
Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Overtime hours may be required to fulfill job responsibilities
May be required to remain stationary for extended periods of time
May be required to move up to 10 pounds
Must be able to operate a computer and other devices
Close vision and ability to adjust focus, such as required to read a computer screen

Benefits

Comp & perks

Generous paid time off (PTO)
12 paid company holidays
401(k) Retirement Plan with 6% company match
Health and dental insurance
Vision plan available
Company-provided long-term disability and life insurance
Opportunities for advancement in a successful and growing organization
Flexible work schedules and a great work/life balance
Paid Parental Leave
Volunteer Time Off
Casual dress
Free parking
Hybrid work schedule