Member Solutions Coordinator

HCC Life Insurance-posted 11 months ago

Full-time • Entry Level

Hybrid • Birmingham, AL

1,001-5,000 employees

Insurance Carriers and Related Activities

Resume

Match Score

Upload and Match ResumeTrack Jobs with Teal

Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world. Organic growth and over 60 successful acquisitions have grown our 2022 Gross Written Premium (GWP) to $5 Billion. Our workforce has grown to 4,300 worldwide â¦ big, but not so big that you cannot make a difference. Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work. TMHCC A&H, a $2 Billion division within TMHCC, leads the way in providing medical stop loss insurance sold to employers. Medical Stop Loss provides an added layer of insurance protection to employers who choose to self-fund their health benefit plans. Self-funding can incur risks from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine A&H is designed to protect employers from that risk. This role is located onsite in Birmingham, AL.

Assist customers and providers navigate insurance plans and coverage to facilitate the pathway to care.
Handle a high-volume amount of inbound and occasionally outbound calls with a strong sense of urgency.
Engage with customers and providers to verify insurance benefits and check claim status.
Maintain a strong working knowledge of insurance coverages and EOB's.
Verify insurance and claim status by communicating regularly with doctors' offices and insurance holders.
Manage challenging customer service situations while maintaining a positive, empathetic, and consultative approach towards the customer.
Maintain working knowledge of insurance co-pays and deductibles to ensure accurate and compliant billing information.
Answer telephones, take, and direct messages on a timely basis to maintain continuous workflow.
Maintain an organized and efficient work environment by keeping files and records neat and orderly to promote a smooth workflow and ensure confidentiality.
Demonstrate excellent multitasking skills, with the ability to work on projects simultaneously.
Adhere to all HIPAA policies.
Provide assistance with call backs and other projects as call volume permits.

Minimum High School or GED
Up to two years of relevant experience
Knowledge of quality measures and procedures
Ability to support and represent a team's needs to other departments
Possess and have ability to apply advanced knowledge of principles, practices, and procedures
Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy
Superior organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business
Ability to operate a computer and other devices
Close vision and ability to adjust focus, such as required to read a computer screen.

Overtime hours may be required to fulfill job responsibilities
May be required to remain stationary for extended periods of time
May be required to move up to 10 pounds.

Generous paid time off (PTO), 12 paid company holidays
401(k) Retirement Plan with 6% company match
Health and dental insurance, and vision plan available
Company-provided long-term disability and life insurance
Opportunities for advancement in a successful and growing organization
Flexible work schedules and a great work/life balance
Paid Parental Leave
Volunteer Time Off
Enjoy casual dress and work in a modern, comfortable office with free parking
Hybrid work schedule

Track Jobs with Teal

Job Search Resources

•

Resume Builder

•

Resume Examples

•

Cover Letter Examples

Member Solutions Coordinator

Job Search Resources

Tools

Career Hubs

Guides

Company