Claims Operations Specialist

Claims Operations Specialist
Reports To: Manager, Claims Operations

Position Summary
The Claims Operations Specialist assists with the claims department’s front-end operations, including claims intake, documentation, and initial claim assignment. This role supports accurate and timely claims processing by serving as a key point of contact for incoming claims and coordinating information between insureds, agents, adjusters, and internal teams.

Duties/Responsibilities:

• Review and process incoming claims submissions, initial communications, and first notices of loss to ensure accuracy and completeness.
• Communicate with insurance agents, insureds, and other relevant parties to verify claim information and obtain additional documentation or information as needed.
• Ensure timely and accurate entry of claims into the Company’s claims management and policy administration systems.
• Coordinate the assignment of adjusters to new claims and assist in the establishment of initial reserves.
• Contribute to claims analytics for reports and special projects to support the claims operation and processing manager and senior management.
• Assist with the day-to-day operations of the Claims Operations and Processing Department, including technical and workflow issue management.
• May coordinate with other departments to ensure seamless claims processing and resolution.
• Train and guide staff on organizational policies and procedures to ensure compliance and efficiency in claims processing.

Universal Shield Insurance Group offers an industry-competitive benefits package including health insurance with a company-contributed HSA, dental insurance, vision coverage, short term disability insurance, long-term disability insurance, AD&D insurance, Employee Assistance Program (EAP), and other lifestyle and family-friendly and work/life balance benefits. We also offer a company-matched 401K, unlimited PTO for exempt employees, and other ancillary

workforce benefits. Applicants selected for interviews will receive more information on our full company benefits program.


Universal Shield Insurance Group (and its member companies – Universal Fire & Casualty Insurance Company and Shield Indemnity Inc) is an equal opportunity employer. Discrimination of any kind, including race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy or on any basis prohibited by federal, state, or local law is not tolerated at Universal Shield Insurance Group.

USIG targets property and casualty insurance for small and medium businesses that are managed in such a way that they deserve to qualify for, and enjoy, the additional advantages in security and coverage offered by an admitted product. We also offer an E&S product for those accounts that may qualify for our admitted market product after a few years of successful operation. We work exclusively with our appointed wholesale General Agents that demonstrate a commitment to professional underwriting practices and have multi-decade relationships with our underwriting teams. USIG incorporates a state-of-the-art risk acceptance process, employing expert underwriting rules, advanced analytics, machine learning, and external data sources to supplement standard risk information. USIG and its insurance entities (Universal Fire & Casualty Insurance Company “UFCIC” and Shield Indemnity Incorporated “Shield”) maintain an AM Best Financial Strength Rating (FSR) of A- (Excellent) and the Long-Term Issuer Credit Ratings (Long-Term ICR) of “a-“. UFCIC also maintains a Demotech Financial Stability rating of A (Exceptional) and is Treasury Listed for surety bonds up to $5.9M. USIG also underwrites the Surety line of business through our admitted company, providing bonds for the Commercial, Contract and Specialty Surety markets. Through our proprietary, cutting-edge portal Bondramp.com, we provide agents at all levels access to a large library of competitively priced commercial and transactional bonds, immediately delivering many bonds upon the Principal’s payment. Conveniently, BondRamp.com and is available 24x7x365 and accessible by computer, tablet, or mobile device. We have corporate offices in Waterford and Grandville, Michigan as well as Dublin, Ohio.