Role OverviewThis position is responsible for analyzing and processing insurance claims to determine the extent of the insurance carrier's liability in a manner that supports the mission, values, and standards of the Company. The role involves efficient adjudication of insurance claims, communication with insureds, travel suppliers, medical facilities, and others, as well as maintaining all state Department of Insurance regulations for claims files.
What You Will Do
Process all claims assigned in a timely, efficient, and accurate manner, ensuring that all appropriate policies, procedures, and standard best practices are being followed. Review information on claim forms, Physician Statements, and other documentation to ascertain completeness and validity of claims. Correspond with insureds, physicians, agents, and other appropriate parties to obtain proper documentation and to finalize claims.
Why It Might Be a Fit
The ideal candidate will have exceptional communication, problem-solving, and organizational skills, strong reading, writing, comprehension, and proofreading skills, and knowledge of standard concepts, practices, regulations, and laws within the insurance field. Bilingual English/Spanish language fluency is a plus.
Requirements
- High School Diploma or Equivalent (GED) required
- Exceptional communication, problem-solving, and organizational skills
- Strong reading, writing, comprehension, and proofreading skills
- Knowledge of standard concepts, practices, regulations, and laws within insurance field preferred
- Bilingual English/Spanish language fluency – verbal, reading, and writing skills, is a plus
- Previous claims and customer service experience are highly preferred
Benefits
- Generous Employer contribution for health, dental, and vision insurance
- Paid Maternity and Paternity Leave
- Scholarship Program for Employee Dependents
- Company match on 401k
- Employee Assistance Program (EAP)
- Company paid short-term and long-term disability insurance
- Company paid life insurance
- Voluntary Pet Insurance
- Voluntary Legal Benefit
- Discounts on travel insurance
- Time off policies including vacation days, sick days, personal days, holidays and volunteer days (VTO)
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