Lead Healthcare Claims Assistant
About The Position
As a Lead Healthcare Claims Assistant, you will play a critical role in the claims team by managing claim intake flow and supporting claims operations. You will become part of a growing and evolving team with the ability to make immediate impact while working closely with your colleagues and taking ownership of critical issues relating to the overall claims operations. This is a great role for a self-starting independent thinker looking to leverage their skills in a fast-paced environment supporting a new team. As part of this opportunity, you will have an integral part in developing processes and identifying efficiencies in all parts of healthcare claims operations.
Requirements
- High School or GED required.
- 7 years of relevant and progressive claims, administrative, clerical, or support
- Ability to apply knowledge of principles, practices, and procedures with minimal supervision.
- Strong written and verbal communication skills with an emphasis on confidentiality and professionalism.
- Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously.
- Intermediate to advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Nice To Haves
- College preferred.
- Adjuster licensed preferred.
- Prior healthcare or casualty experience strongly preferred.
Responsibilities
- Manage claims intake email inbox and triage initial notices accordingly.
- Set up claim files by performing data entry, electronic data filing, sending out acknowledgment emails, and filing same to the electronic file.
- Book bordereaux data received in regular intervals.
- Respond to and manage loss run requests.
- Perform close activities and prepare reports on an as-needed basis.
- Electronically file additional correspondence and monitor claim activity for escalation to claims personnel.
- Input data into spreadsheets, databases, and other departmental systems.
- Draft, prepare, and process various types of correspondence including acknowledgment of new claims.
- Respond to general inquiries and relay basic information to internal and external business partners.
- Assist other claims personnel as needed during the claims process and ensure adherence to company claims policies and procedures.
- Assist in special projects such as file reviews, statistical studies, or workflow analysis.
- Perform other general clerical duties such as copying, filing, answering phones, and operating office equipment.
Benefits
- Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment
- Basic life and disability insurance
- 401(k) plan with 6% company match
- 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off
- Paid parental leave
- Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription
- Student loan matching program
- Employee discount program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
