Claims Specialist

ManhattanLife Insurance & Annuity CompanyDe Pere, WI
10hRemote

About The Position

ManhattanLife is seeking a Claims Specialist for our office located in De Pere, WI. This role directly supports our organization’s Claims team. Claims Specialists evaluate medical claims submissions and process the claims on our systems. Our Claims Specialists also provide customer service to our policyholders over the phone. This position has the option to be remote.

Requirements

  • High School Graduate or equivalent (GED).
  • Ability to read and understand policy language.
  • Understanding of basic medical terminology.
  • Ability to work independently and in a team environment.
  • Ability to prioritize and manage workload to meet deadlines.

Nice To Haves

  • 1-3 years of claims experience preferred.
  • Solid knowledge of ICD-9, ICD-10 or medical coding.
  • Excellent phone skills and an ability to communicate in a friendly and effective manner with our customers.
  • Background in insurance claims is preferred in any discipline of Medicare Supplement, Life, Health, Cancer or Disability.

Responsibilities

  • Evaluate claims based on documentation received and provide timely follow-ups for claims being adjudicated.
  • Process insurance claims with adherence to company policies and contract provisions in full accordance with the law.
  • Make decisions and ensure the successful resolution of inquiries and complaints by preparing accurate and timely activity reports.
  • Communicate via written correspondence or e-mail to claimants.

Benefits

  • ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans.
  • We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program.
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