Claims Concierge Specialist
About The Position
The Claims Concierge Specialist reports to the Claims Department Manager in the MWG-Administrators Division. The position is a nonexempt, hourly role and is located at 500 Steed Road, Ridgeland, MS 39157. GENERAL JOB DUTIES AND RESPONSIBILITIES: The Claims Concierge Specialist is an advocate to our customers throughout the lifecycle of their claim. They are center stage when it comes to answering questions. He or She will listen to our customers' needs and make sure the claims process is simple. They are also responsible for providing the business with feedback from our customers to continue to drive process improvements and will communicate with the Claims Manager daily as well as possibly interacting with groups, claimants, outside carriers, and agents. To perform the job successfully, the employee must be able to perform each essential duty satisfactorily. The requirements listed here are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Requirements
- High School Diploma or GED required; Associates or bachelor's degree is preferred.
- Must have 1-2 years of previous insurance claims experience.
- Must be proficient in computer skills and have strong knowledge of Microsoft Outlook, Windows, Excel, and Word.
- Must be able to learn and be proficient with the software using in the TPA Department.
- Must possess time management, organizational, problem solving, and customer service skills.
- Must be able to work well under pressure with multiple priorities and meet deadlines.
- Must be able to multitask while maintaining attention to details.
- Must be able to read, write, and speak English; Spanish is a plus.
- Must have basic typing skills
- Must be able to work as scheduled.
- Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position as stated above can be fully met.
- Must be able to bend, stretch, reach, and sit or stand at a desk during 85% of the workday.
- Must be able to lift, stoop, and carry small equipment items and supplies, possibly weighing up to 20lbs.
Responsibilities
- Provide general claims and concierge support by reviewing, researching, investigating, processing, and adjusting claims.
- Adjudicate non-medical claims and provide assistance to customers.
- Assist with claim appeals, subrogated claims, and claims where prior deductible credit is applied.
- Identify and recommend solutions for better workflow processes within the department.
- Assist in training and processing special pend codes.
- Serve as a subject matter resource and provide additional training to team members.
- Special projects assigned by the department manager or supervisor.
- Coordinate updates to training material and other department resources.
- Perform other duties and responsibilities as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
