Claims Assistant

Job Posting: Claims Assistant (MGA/TPA)

Full Job Title: Claims Assistant

Location: Mesa, AZ

Experience Required: 2+ years in insurance claims (no degree required)

License Required: No (adjuster’s license not necessary for this role)

Salary Range: Starting at $20 per hour ($41,600 annually), depending on experience

We are a New Jersey-based Managing General Agent (MGA) that serves as Third-Party Administrator (TPA) for a select group of insurance carriers. We issue policies on behalf of our carriers and have limited claims-handling authority for claims, while also managing the claims intake and file maintenance process for the rest of our carriers.

Position Overview

We're seeking a detail-oriented Claims Assistant to join our team and support our claims operations. This is an administrative and coordination role focused on maintaining claim file integrity, facilitating communication between adjusters and insureds, and ensuring accurate documentation throughout the claims lifecycle.

Key Point: This role does not require claims licensure. All claims decision-making authority comes from the Claims Manager (your supervisor) or directly from the carrier. You will not be making coverage determinations or settlement decisions.

Primary Responsibilities

File Maintenance & Documentation:

• Create and maintain claim file diaries in our claims management system
• Update claim files with information/documentation provided by adjusters
• Track and document claim reserves, paid amounts, and settlement activity through claim closure
• Facilitate claim payments and manage accurate reserves for claims that fall under our handling authority
• Ensure all claim documentation is accurate, complete, and properly organized

Claims Coordination & Communication:

• Create file, assign independent adjusters or refer claims to TPA/carrier upon claim intake
• Gather and verify claim information retail agents and insureds
• Serve as liaison between retail agents, insureds and adjusters for claims submissions

Administrative Support:

• Relay authority and instructions from the Claims Manager to appropriate parties
• Maintain organized records of all claim communications and file updates
• Support the Claims Manager with reporting and documentation needs
• Ensure compliance with carrier file maintenance standards and SLA requirements

What You'll Need

Required:

• 2+ years of experience in claims environment with MGA, TPA, carrier, wholesaler, etc.
• Strong understanding of insurance terminology and claims processes (basic level)
• Excellent written and verbal communication skills
• High attention to detail for accurate file maintenance
• Proficiency with Microsoft Office Suite and database/system navigation
• Ability to work independently and manage multiple claim files simultaneously
• Attention to deadlines and ability to prioritize workload

Preferred (but not required):

• Associate's or Bachelor's degree
• Claims experience in a property & casualty line of business (Dwelling/Fire or Homeowners, Commercial Property, etc.)
• Familiarity with claims management software (AMS360, Switch, ClaimCenter, etc.
• Vertafore is a plus

Not Required:

• Claims adjuster license
• College degree
• Advanced claims negotiation experience

What Makes This Role Unique

Clear Decision-Making Structure: You'll receive all claims direction from the Claims Manager or carrier—no pressure making coverage/settlement decisions alone

MGA/TPA Experience: Gain valuable experience working in a managing general agent environment that serves multiple carriers

Growth Potential: Opportunity to learn the full claims lifecycle and advance within our claims team

Stable Work Environment: We work with established carrier relationships and handle consistent claim volume

Phoenix Area-Based: Small team environment in our AZ office with collaborative, cross-departmental colleagues

Compensation & Benefits

• Salary Range: $20–$25/hour ($41,600 to $52,000 annually), based on experience and education
• Full health; dental and vision insurance available; 401(k) with match; 2 weeks PTO
• Hybrid schedule option available after training

Contact: ***email_hidden***