Experienced Insurance Claims Specialist

Elizabethtown , United States
full-time

TLDR

This role emphasizes accurate claim evaluation and documentation while maintaining high service standards for clients in Elizabethtown, Kentucky.

We are looking for a skilled Insurance Claims Specialist to join our team in Elizabethtown, Kentucky. This full-time role focuses on accurate claim evaluation, documentation, and stakeholder communication to support efficient claim resolution processes in Elizabethtown, KY. The position requires someone with a strong analytical mindset and solid knowledge of insurance claim operations, and practical experience managing property and casualty claims. The Claims Specialist will help ensure fair, compliant, and timely settlement decisions while maintaining high service standards for clients and partners in Elizabethtown, Kentucky. Candidates should be comfortable reviewing complex claim information, coordinating with internal and external contacts, and supporting operational objectives within the local Elizabethtown insurance service environment.

Responsibilities:

  • Evaluate, verify, and process insurance claims in accordance with policy standards and guidelines in Elizabethtown, KY.
  • Conduct detailed claim investigations to assess coverage eligibility, liability factors, and appropriate settlement outcomes.
  • Maintain clear and professional communication with claimants, adjusters, vendors, and internal stakeholders in Elizabethtown, Kentucky.
  • Collect, review, and organize supporting documents, photographs, statements, and financial records related to claims files.
  • Detect and escalate suspicious activity or potential fraud patterns to management for further review.
  • Prepare accurate analytical reports and case summaries for leadership evaluation.
  • Ensure compliance with federal, state, and company regulations governing claims handling in Elizabethtown, KY.
  • Support cross-functional teams including underwriting, risk management, and legal departments to resolve complex cases.
  • Deliver responsive customer service while balancing organizational guidelines and client expectations within Elizabethtown operations.

Requirements

  • 3+ years of professional claims experience, preferably in property, casualty, or related insurance lines.
  • Strong knowledge of insurance coverage interpretation, claim settlement methods, and regulatory requirements.
  • Excellent written and verbal communication skills for explaining claim decisions clearly.
  • Familiarity with claims processing software and Microsoft Office or similar productivity tools.
  • Highly organized with strong attention to detail, accuracy, and time management.
  • Ability to work independently and collaboratively in a structured team environment.
  • Professional certifications such as AIC or similar industry credentials are a plus.

Benefits

  • Comprehensive medical coverage
  • Paid vacation, personal leave, and recognized holidays
  • Retirement savings and financial planning programs
  • Training, skill development, and career growth opportunities

Apply directly to be considered for immediate review.

Benefits

Health Insurance

Comprehensive medical coverage

Learning Budget

Training, skill development, and career growth opportunities

Retirement savings & planning

Retirement savings and financial planning programs

Paid Time Off

Paid vacation, personal leave, and recognized holidays

AlphaX builds AI-powered software designed to automate workforce operations, hiring systems, and revenue workflows specifically for small and mid-sized construction and service companies. Our platform leverages proprietary data pipelines and machine learning tools to eliminate manual tasks and enhance decision-making, enabling businesses to scale efficiently with fewer resources.

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