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Claim Service Assistant Jobs in Tennessee (NOW HIRING)

Account Specialist

Memphis, TN · On-site

$17 - $23.25/hr

... service commitments. Assist the Supervisor in ensuring that claim processing complies with ACB and client policies, program guidelines, and turnaround commitments. Provide daily claim status reports.

Account Specialist

Memphis, TN · On-site

$17 - $23.25/hr

... service commitments.Assist the Supervisor in ensuring that claim processing complies with ACB and client policies, program guidelines, and turnaround commitments. Provide daily claim status reports.

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services ... Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts.

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Claim Service Assistant information

How to become a claim service assistant?

To become a claim service assistant, candidates typically need a high school diploma or equivalent and strong communication and customer service skills. Some employers prefer prior experience in insurance or claims processing, and familiarity with computer software is beneficial; relevant certifications are not usually required but can enhance prospects.

Is claim service assistant claims processing a stressful job?

Claim Service Assistants involved in claims processing often experience a moderate level of stress due to handling customer inquiries, evaluating claims, and meeting deadlines. The job requires attention to detail, communication skills, and the ability to manage workload efficiently, which can contribute to stress levels depending on workload and workplace environment.

What is the role of a claim service assistant?

A claim service assistant supports insurance claim processing by reviewing claim documents, communicating with clients and adjusters, and ensuring accurate and timely claim resolution. They often use claim management software and require strong organizational and communication skills to handle customer inquiries and documentation efficiently.

What is the difference between Claim Service Assistant vs Claims Processor?

AspectClaim Service AssistantClaims Processor
Required CredentialsHigh school diploma; some roles may prefer insurance-related certificationsHigh school diploma; often requires insurance or claims processing certifications
Work EnvironmentOffice setting, interacting with clients and insurance staffOffice environment, focusing on reviewing and processing claims
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party claims organizations
Common Search & ComparisonOften compared for entry-level claims support rolesMore focused on detailed claim review and data entry

Claim Service Assistants typically handle customer interactions, gather claim information, and support claims processing. Claims Processors focus more on reviewing, verifying, and processing claims data. Both roles are essential in insurance claims workflows but differ mainly in their responsibilities and level of client interaction.

What cities in Tennessee are hiring for Claim Service Assistant jobs? Cities in Tennessee with the most Claim Service Assistant job openings:
Infographic showing various Claim Service Assistant job openings in Tennessee as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Complex Claim Director - Mass Tort Unit

Cna

Nashville, TN

Full-time

Re-posted 17 days ago


Job description

You have a clear vision of where your career can go. And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.
Responsibilities include delivering superior business results through effective team management and the resolution of all claims activities. This position works within broad authority limits on assignments requiring a high degree of technical knowledge, and is accountable for driving overall results and implementing company initiatives within the department.

JOB DESCRIPTION:

Essential Duties & Responsibilities:

Performs a combination of duties in accordance with departmental guidelines:

  • Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training
  • Responsible for facilitating ongoing development, managing performance, and driving employee engagement and retention.
  • Provides oversight and strategic direction on claim files, including analysis of complex coverage issues and litigation strategy on high exposure matters.
  • Partners with Underwriting, Actuary, Reinsurance, Legal, and other internal stakeholders, as appropriate.
  • Contributes to organizational profitability by driving productivity, managing expenses, ensuring appropriate use of vendors, overseeing and authorizing claim resolution strategies, and ensuring quality and customer service standards are met or exceeded.
  • Ensures customer satisfaction by holding team accountable to deliver high quality and timely claim service, identifying service opportunities, and developing initiatives, processes and training that contribute to a positive customer experience.
  • Ensures applicable claim handling protocols are followed by maintaining and/or overseeing appropriate file engagement, providing ongoing feedback and addressing training needs.
  • Regularly uses data analytics to monitor team performance and identify trends. Develops strategies to drive operational effectiveness, and improve the overall performance of the organization.
  • Ensures optimal and effective operation by developing and maintaining collaborative business partnerships with internal and external resources while recognizing connections and inter-dependencies and maximizing relationships to effectively manage the operation.
  • Effectively communicates and shares pertinent and timely information to employees by holding team meetings, regular 1:1 employee discussions, reinforcing leadership messages and providing shared access to company process and protocol documentation.
  • Participates with senior leadership in the development, implementation and reinforcement of claim handling protocols, business strategies and objectives, and regularly evaluates performance; holding self and team accountable for achieving desired results.
  • Recognizes severity matters and escalates appropriately.
  • Oversees compliance with state/local regulatory requirements by following company guidelines, and remains current on commercial insurance laws, regulations or trends for line of business.
  • May participate in special projects.

May perform additional duties as assigned.

Reporting Relationship

  • AVP or above

Skills, Knowledge & Abilities

  • Advanced technical expertise in general liability claims, with deep knowledge of mass tort, sexual abuse and latent/legacy exposures.
  • Strong understanding of general liability policy forms and coverage issues, including: allocation, number of occurrences, and trigger theories.
  • Demonstrated ability to lead, coach, develop and retain highly skilled claim professionals in a complex and evolving claim environment.
  • Excellent judgment and decisionmaking skills, with the ability to assess and manage largescale severity and uncertainty.
  • Expert knowledge of claims principles, practices and procedures including investigation, negotiation and resolution.
  • Ability to solve complex issues with a sense of urgency; utilizes all available resources to make informed decisions.
  • Ability to effectively interact and collaborate with all levels of CNA's internal and external business partners.
  • Excellent communication skills, with demonstrated ability to succinctly present to senior management.
  • Demonstrated knowledge and understanding of when and how to extract insights from metrics to make informed business decisions.
  • Ability to creativity and effectively manage through ambiguous and challenging business problems, lead through change and take appropriate levels of risks.
  • Adaptable and able to effectively lead through change.
  • Knowledge of Microsoft Office Suite and other business-related software.

Education & Experience:

  • Bachelor's degree. JD, Master's degree, or equivalent experience preferred.
  • Typically a minimum of ten years of related work experience, with three years of management experience preferred
  • Applicable certifications or professional designations preferred.

The National base pay range for the Complex Claims Director role is $147,000 to $241,500. Salary determinations are based on variousfactors, including but not limited to, relevant work experience, skills, certifications and location.

#LI-CP1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually.Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visitcnabenefits.com.


CNAutilizesAI-enabled technology during the recruiting process. For more information, please visitourcareers page.


CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contactleaveadministration@cna.com