
Claims Specialist
Cover GeniusPosted 5/12/2025

Claims Specialist
Cover Genius
Job Location
Job Summary
Cover Genius is a Series E insurtech company that protects the global customers of major digital companies. As a Claims Specialist on their Customer Team, you will own the assessment and settlement of claims within your own settlement authority. You will have strong attention to detail, great organizational and time management skills, and a natural desire to solve complex issues. The role involves managing day-to-day claims activities, handling customer inquiries, and ensuring accurate documentation. Cover Genius values diversity and inclusivity, promotes a flexible work environment, and offers competitive benefits such as $4,000/year travel stipends and equity in a fast-growing company. If you have 1-2 years of experience handling claims and fluency in English and Portuguese, you may be a good fit for this role.
Job Description
Key Responsibilities
- Claims Processing: Manage day-to-day claims activities for new claims, including claims actions, emails, and payments.
- Own the assessment and approval of new claims within the authority and fraud thresholds.
- Customer Communication: Handle customer inquiries regarding claims status and policy coverage via chat, phone or email. Build rapport with customers to speed up claim’s resolution and process claims payments.
- Documentation: Ensure all necessary documentation is collected and filed accurately in the system.
- Quality: Maintain the quality of our work ensuring accuracy to meet business, team and individual KPIs.
- Collaboration: Own the communication with all relevant stakeholders (Claims, Support) to resolve claims efficiently and ensure the best customer experience.
- Compliance: Be aware of current insurance guidelines, policy updates, and regulations. Follow company guidelines and local regulations to ensure claims are handled fairly and ethically.
- Process Improvement: Identify and recommend process improvements to enhance claims handling efficiency and operations.
What you will bring
- 1-2 years experience handling claims
- Fluency in English & Portuguese (verbal & written) is essential for communicating internally and externally.
- Any other European language will be highly regarded for external communications.
- Basic understanding of insurance products and terminology.
- Bachelor’s or postgraduate degree in a related field or equivalent is desirable
What you will have
- Problem-solving, advocating for customer solutions
- Driven, energetic and a “good enough is not enough” mentality.
- Professional approach.
- Ability to work under pressure and adapt quickly to a start-up pace environment and culture
- Organizational and time management skills.
- Excellent attention to detail.