Epic Health Solutions · 4 months ago
Claims Coordinator
Miami Hybrid, Miami, FL, US
Full-time
Hybrid
New Grad, Entry LevelVUMI® is an international health insurance company committed to providing premier medical insurance products and services. The Claims Coordinator will handle inquiries and concerns related to claims, ensuring accurate information is provided promptly and collaborating with various teams to resolve issues.
Health CareMedicalWellness
Responsibilities
Receive and handle customer inquiries from potential, current, and former members, brokers, and providers
Provide timely, accurate, and clear information in response to customer requests
Process customer requests following established departmental policies and procedures
Conduct research and investigations to resolve customer inquiries effectively
Collaborate closely with claims adjudicators and other departments to gather necessary information
Deliver timely feedback to customers through outbound calls, emails, mail, or fax
Identify potential fraudulent claims and take appropriate action in line with company protocols
Assist with client office visits as needed
Report service failures, systemic issues, and customer concerns promptly to the Claims Director or Claims Manager
Generate reports for brokers to facilitate the completion of claims and payment processes
Support the completion of special projects as assigned
Attend and actively participate in meetings and training sessions as required
Perform other duties as assigned
Qualification
Required
High school diploma or equivalent required
Fluent in English and Spanish
Strong confidentiality and time management skills
Ability to learn quickly and work independently with self-motivation
Preferred
Related experience preferred
Benefits
Medical, Dental, and Vision Insurance
401(k) Retirement Plan
Hybrid Work Model (combination of remote and in-office work)
Wellness Programs, including free access to our building gym
A vibrant, engaging work environment that values and supports our employees’ growth, well-being, and success
Company
Epic Health Solutions
Epic Health Solutions provides network solutions, healthcare management, and medical assistance for international clients.
Founded in 2021
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase