Claim Specialist II

Aon Corporation • Fort Wayne, IN

1d • Hybrid

About The Position

Aon is looking for a Claims Specialist II. As a Claims Specialist, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance. This is a hybrid role with the flexibility to work both virtually and 2-3 days per week at our Fort Wayne, IN office. Aon is in the business of better decisions: At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed.

Requirements

• Accident and Health experience preferred either in a claim setting or as a medical biller/coder.
• Experience with working with third parties a plus.
• Experience with the Microsoft office suite products.
• Proficient typing skills necessary.

Responsibilities

• Confirm coverage in system and verifies that both team and individual are sanctioned. Sends initial contact letter which also explains which benefits are available.
• Obtain information necessary for claim to be established in the claims system.
• Investigate to verify that injury occurred while claimant was participating in a covered event.
• Analyze medical bills for causal relationship to the accident/injury.
• Review Explanation of Benefits from primary insurance to determine obligation under our policy.
• If appropriate reprice medical bills through the PPO network and/or use system to see if procedures were reasonable and customary to establish proper payment.
• Issue payment to medical providers.
• Handles all assigned claims to a conclusion.
• Undertakes a high volume of claims and maintains Customer Service standards.
• Interacts with Carrier, Claimant, Health Care Providers, and Policyholders.
• Handle all inquiries from claimant, insured, or medical provider regarding the status of a claim.
• Comply with all rules, regulations, and laws regarding the payment of medical claim.
• Process/move and maintain claims within the claims workflow and archival systems.

Benefits

• a 401(k) savings plan with employer contributions
• an employee stock purchase plan
• consideration for long-term incentive awards at Aon’s discretion
• medical, dental and vision insurance
• various types of leaves of absence
• paid time off, including 12 paid holidays throughout the calendar year
• 15 days of paid vacation per year
• paid sick leave as provided under state and local paid sick leave laws
• short-term disability and optional long-term disability
• health savings account
• health care and dependent care reimbursement accounts
• employee and dependent life insurance and supplemental life and AD&D insurance
• optional personal insurance policies
• adoption assistance
• tuition assistance
• commuter benefits
• an employee assistance program that includes free counseling sessions
• two “Global Wellbeing Days” each year

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level