Claims Support Representative III – Madison East

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Claims Support Representative III

Location: Sun Prairie, WI
Type: Contract
Duration: 7 months

Position Overview

The Claims Support Representative III provides administrative and operational support within a claims environment. This position is responsible for processing claim-related transactions and requests, maintaining accurate records, preparing routine correspondence, reviewing documentation, and supporting timely resolution of customer and internal business needs.

The role is well suited for someone who is highly organized, detail-oriented, comfortable working in a structured and process-driven environment, and able to manage multiple requests while maintaining accuracy and service standards.

Key Responsibilities

• Process claim-related transactions, requests, documentation, and administrative activities according to established procedures.
• Review incoming information and documentation for accuracy and completeness.
• Enter, update, and maintain information within claims, customer, or workflow management systems.
• Prepare routine correspondence, notifications, emails, and other claim-related communications.
• Maintain complete and accurate electronic records and documentation.
• Respond to routine inquiries from customers and internal business partners.
• Research information needed to complete assigned transactions or requests.
• Identify missing, incomplete, or inconsistent information and take appropriate follow-up action.
• Monitor assigned work queues and prioritize tasks based on established service expectations.
• Follow documented procedures, business rules, quality standards, and escalation guidelines.
• Escalate unusual, complex, or exception-based situations to the appropriate team member or supervisor.
• Protect confidential customer and business information.
• Support department productivity, accuracy, and customer-service objectives.
• Perform other related claims-support and administrative duties as assigned.

Minimum Qualifications

• High school diploma or equivalent.
• 0-3 years of experience in claims support, insurance operations, customer service, administrative processing, financial services, healthcare claims, case management, or another transaction-oriented environment.
• Experience entering, reviewing, and maintaining information in business systems.
• Strong attention to detail and commitment to accuracy.
• Ability to follow established processes, procedures, and guidelines.
• Ability to manage multiple tasks and priorities in a deadline-driven environment.
• Strong written and verbal communication skills.
• Demonstrated customer-service and problem-solving skills.
• Ability to work effectively both independently and as part of a team.

Preferred Qualifications

• Previous insurance or claims experience.
• Experience supporting claims adjusters, examiners, customer service teams, or insurance operations.
• Experience working within a high-volume processing or work-queue environment.
• Familiarity with document management, case management, CRM, claims management, or workflow systems.
• Experience working with service-level, productivity, or quality standards.
• Experience reviewing documentation for completeness and following up on missing information.

Top Skills

1. Claims or Transaction Processing
   Ability to accurately process requests, records, documentation, or transactions within established procedures.
2. Attention to Detail
   Ability to identify missing or inconsistent information and maintain accurate records.
3. Data Entry and Systems Navigation
   Comfortable working across multiple business applications while entering and retrieving information.
4. Written Communication
   Ability to prepare clear and professional routine correspondence, emails, and case documentation.
5. Workload Management
   Ability to manage an assigned queue, prioritize work, and meet established turnaround expectations.
6. Process and Procedure Adherence
   Comfortable operating within defined guidelines and knowing when an issue requires escalation.
7. Customer Service
   Professional communication and follow-through when assisting customers or internal business partners.

Tools & Technology

Candidates should be comfortable using:

• Microsoft Outlook
• Microsoft Word
• Microsoft Excel
• Web-based business applications
• Document management systems
• Workflow or work-queue applications
• Customer relationship management (CRM) or case management systems
• Claims management or insurance administration systems

Specific claims-system experience is helpful but should not be positioned as mandatory because the source description does not identify a particular platform.

2. Candidate-Facing Job Description

Claims Support Representative III

Location: Sun Prairie, WI
Type: Contract
Duration: 7 months

About the Opportunity

We are seeking a Claims Support Representative III to provide operational and administrative support within a fast-paced claims environment. This position will focus on processing transactions and requests, maintaining accurate records, reviewing documentation, preparing correspondence, and helping ensure customer and business needs are handled accurately and efficiently.

This is a strong opportunity for someone with experience in claims, insurance operations, customer service, administrative processing, case management, financial services, healthcare claims, or another high-volume transaction-processing environment.

What You’ll Do

• Process claim-related transactions, requests, and documentation.
• Review information for accuracy and completeness.
• Enter, update, and maintain records within business systems.
• Prepare routine correspondence, emails, notifications, and documentation.
• Respond to routine customer and internal business requests.
• Research information necessary to complete assigned transactions.
• Identify missing or inconsistent information and follow established procedures for resolution.
• Maintain accurate and complete electronic records.
• Manage an assigned workload or queue and prioritize time-sensitive activities.
• Follow established procedures, quality standards, and business guidelines.
• Escalate unusual or complex situations when appropriate.
• Handle sensitive and confidential information professionally.
• Support team goals for accuracy, productivity, responsiveness, and customer service.

What We’re Looking For

• High school diploma or equivalent.
• 0-3 years of relevant professional experience.
• Strong attention to detail and accuracy.
• Experience processing transactions, cases, requests, records, or documentation.
• Strong data-entry and computer skills.
• Ability to learn and navigate multiple systems.
• Strong written and verbal communication skills.
• Ability to organize and prioritize a changing workload.
• Comfortable working within defined procedures and established guidelines.
• Customer-focused approach with strong follow-through.

Preferred Experience

Experience in one or more of the following areas would be helpful:

• Insurance claims
• Claims administration or claims support
• Insurance operations
• Policy servicing
• Healthcare claims
• Financial services operations
• Benefits administration
• Case processing or case management
• High-volume administrative processing
• Customer service in a regulated environment

Tools & Technology

Experience working with some combination of the following is beneficial:

• Microsoft Outlook
• Microsoft Word
• Microsoft Excel
• Claims or case management systems
• CRM platforms
• Document management systems
• Workflow and work-queue applications
• Web-based business applications

Top Skills for Success

• Attention to detail and accuracy
• Transaction and document processing
• Data entry and systems navigation
• Professional written communication
• Organization and prioritization
• Customer service
• Ability to follow defined procedures
• Ability to manage a high-volume workload

Ideal Candidate

The ideal candidate has experience working in a structured, detail-oriented processing environment where accuracy, documentation, productivity, and timely completion of work are important.

Direct insurance or claims experience is valuable, but candidates with strong transferable experience from healthcare claims, banking or financial operations, benefits administration, case management, customer operations, or other regulated processing environments may also be a strong fit.

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