Claims Assistant

One80 Intermediaries • Newtown Square, PA

8d • Hybrid

About The Position

We are looking for Claims Assistant to join our team. This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases. This is a hybrid position based out of our office in Newtown Square, PA. Your Impact: Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies Ensuring compliance with state laws, company policies, and procedures in all claim-related activities Monitor incoming emails and enter information received in database within 24 hours Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount) Enter LCM (Large Case Management) notices and notify the nurse Process claims, checks and SLAM Reports Successful Candidate Will Have: BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and experience Ability to process high volume of transactions accurately Proficiency in using Microsoft Office suite, including Word, Excel, and Outlook Ability to work independently and with others in a team environment About One80: One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform that offers deep specialization, scale, and innovation across wholesale brokerage, program administration, and specialty insurance. With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The platform combines entrepreneurial culture with operational excellence to deliver tailored solutions and long-term value across the insurance ecosystem. Located in Newtown Square, PA and established in 2007, the Medical Stop Loss program of One80 is a full-service Managing General Underwriter. We have full in-house binding authority to manage stop loss insurance across the United States on behalf of our leading carriers and reinsurers. Backed by a team of experienced professionals we provide best-in-class products and services to our partners and clients. One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at One80 Intermediaries by visiting our careers page: www.one80.com/careers . Personal information submitted by California applicants in response to a job posting is subject to One80's California Job Applicant Privacy Notice .

Requirements

• BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and experience
• Ability to process high volume of transactions accurately
• Proficiency in using Microsoft Office suite, including Word, Excel, and Outlook
• Ability to work independently and with others in a team environment

Responsibilities

• Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
• Ensuring compliance with state laws, company policies, and procedures in all claim-related activities
• Monitor incoming emails and enter information received in database within 24 hours
• Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount)
• Enter LCM (Large Case Management) notices and notify the nurse
• Process claims, checks and SLAM Reports

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED