Claims Coordinator

Acrisure • Las Vegas, NV

4d • Onsite

About The Position

The Claims Coordinator plays a vital role in supporting Breckpoint’s medical stop-loss operations by coordinating claim submissions, maintaining accurate documentation, and ensuring timely communication between internal teams, brokers, TPAs, and policyholders. This role ensures smooth workflow across claims reporting, policy issuance, and ongoing account support, contributing to the accuracy and efficiency of the overall underwriting and claims lifecycle.

Requirements

• Strong relationship-building skills with the ability to collaborate effectively across the Alternative Risk team.
• High attention to detail with strong organizational skills and the ability to manage high-volume workflows with competing deadlines.
• Ability to multitask and adapt quickly in a fast-paced, evolving environment.
• Proficiency with Microsoft Office products and comfort learning new systems and platforms.
• Professional phone, email, and written communication skills.
• Solid math, analytical, and problem-solving abilities.
• Demonstrated independent decision-making with awareness of impacts and downstream consequences.
• Openness to learning, adapting to new processes, and adopting new tools or approaches to maintain a competitive advantage.
• Strong critical-thinking skills and the ability to evaluate alternative solutions and approaches.
• Consistent and thorough documentation skills, including accurate data entry, recordkeeping, and workflow tracking.
• Demonstrates a continuous improvement mindset, proactively identifying opportunities to streamline operations.
• High school diploma or equivalent; equivalent work experience is fully acceptable.
• 2+ years of experience in medical insurance, stop-loss, claims processing, or related healthcare administration roles preferred

Responsibilities

• Manage and monitor the stop-loss submission inbox to ensure timely routing and follow-up on incoming claims.
• Manage the policy submission inbox and coordinate the intake of policy issuance documents.
• Create, assign, track, and update claim submissions in internal systems, ensuring complete and accurate documentation.
• Collaborate closely with the Claims and Underwriting Team along with other internal partners to coordinate claims reporting, policy issuance, and required follow-up items.
• Respond promptly and professionally to status requests from TPAs, brokers, and internal stakeholders.
• Maintain and reconcile daily, weekly, and monthly reporting from TPA and broker partners, escalating discrepancies as needed.
• Work with the Claims Director to monitor deadlines, identify missing data, and coordinate requests for additional information.
• Assist in process improvement initiatives to enhance efficiency in claims intake, tracking, communication, and documentation standards.
• Support cross-functional activities between claims, underwriting, and policy administration as needed.
• Perform other duties as assigned.

Benefits

• Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees