Claims Admin Appeals Coordinator
About The Position
The Claims Admin/Appeals Coordinator provides essential clerical and administrative support to the Claims Department of an insurance Third-Party Administrator (TPA). The role ensures accurate processing, organization, and maintenance of claims while supporting the claims team. The ideal candidate is detail-oriented, highly organized, and comfortable working in a fast-paced, regulated environment. SBMA is a third-party administrator and an affordable ACA-compliant benefits provider to thousands of employers. Acrisure describes its workplace as a community where employees can grow, thrive, and make an impact. The position requires an on-site presence to support collaboration, team leadership, and cross-functional partnership.
Requirements
- High school diploma or equivalent.
- 1–3 years of administrative or clerical experience, preferably in insurance, claims, healthcare, or legal environments.
- Proficiency in Microsoft Office, including Word, Excel, and Outlook, and general office technology.
- Strong data entry skills with a high degree of accuracy.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
- Excellent written and verbal communication skills.
- Strong attention to detail and organizational skills.
- Basic understanding of clerical procedures and systems such as recordkeeping and filing.
- Ability to work independently.
Nice To Haves
- Associate degree or coursework in business or insurance.
- Prior experience working for an insurance carrier or Third-Party Administrator (TPA).
- Familiarity with claims management systems and insurance terminology.
- Experience handling confidential or regulated information, such as HIPAA and PII.
- Workers’ compensation, liability, or health insurance claims exposure.
- Proficiency in HealthPac software.
Responsibilities
- Provide administrative support to the claims team.
- Process and track member and provider appeals.
- Research claims, plan provisions, and supporting documents.
- Coordinate information needed for appeal determinations.
- Monitor appeal deadlines and turnaround times.
- Identify trends and recurring issues to improve the BENEX tool.
- Support claims staff with administrative follow-up.
- Perform other administrative and clerical duties as assigned.
Benefits
- Comprehensive medical insurance, dental insurance, and vision insurance.
- Life and disability insurance.
- Fertility benefits.
- Wellness resources.
- Paid sick time.
- Paid time off and holidays.
- Employee Assistance Program (EAP).
- Complimentary Calm app subscription.
- 401(k) plan with immediate vesting.
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options.
- Commuter benefits.
- Employee discount programs.
- Paid maternity leave and paid paternity leave, including for adoptive parents.
- Legal plan options.
- Pet insurance coverage.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
