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Continental General · 11 hours ago

Claims Intake Specialist

HeadQuarters CGS - Austin , TX 78717

Full-time

Hybrid

Entry Level

$45K/yr - $50K/yr

2+ years exp

Continental General is a company dedicated to providing insurance solutions for over 30 years, currently supporting over 100,000 policyholders. They are seeking a Claims Intake Specialist who will assist customers with initiating claims under their Long-Term Care insurance policies, educate them on the claim process, and gather necessary documentation.

Customer ServiceInsuranceRetirementService Industry

Responsibilities

Obtain pertinent information from new claimants by performing telephonic interviews and/or requesting claimant statements via email

Manage all requests by telephone and email, coordinate with clinical staff and claim eligibility specialists to ensure accuracy while providing support to both internal and external customers

Provide policy and claim information, assists with submission of claims and make outbound calls to gather missing information when incomplete documentation is received

Conduct research when needed to resolve customer questions or complaints

Manage outbound calls and letters to customers and providers to research incomplete claims

Process paperwork for new claimants efficiently and in accordance with department procedures

Document pertinent claim information and call summaries in the claim system and other applications

Contribute ideas to the team that enhance service quality

Comply with HIPAA and other regulatory requirements

Perform project work and other related duties as assigned or required

Qualification

Healthcare AdministrationInsurance Industry ExperienceCustomer ServiceMicrosoft OfficeCommunication SkillsOrganizational SkillsAttention to DetailTeamworkAdaptability

Required

High School Diploma or equivalent

Background in Healthcare Administration, Long Term Care or Health claims, or 2 years of insurance industry customer service

Ability to communicate clearly and effectively, both verbally and in writing

Ability to handle customer interactions in a calm, professional, friendly and patient manner

Ability to work independently and utilize professional judgement to make accurate determinations and efficiently manage a multi-claim inquiry caseload

Ability to quickly adapt to changes either within the department or during the daily work assignments

Excellent organizational and time management skills

Attention to detail

Ability to work in a team environment and display a positive attitude in an effort to meet department goals

Ability to work within a Windows Operating system and Microsoft Office Products

Benefits

Competitive Salary & Target Bonus Program

Retirement Savings – 401(k) with a company match

Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term & long-term disability, and life insurance.

Work-Life Balance – This role offers 20+ days of PTO, 10 paid holidays, and paid volunteer time off.

Flexible Work Options & Perks – Hybrid opportunity, wellness programs, and weekly paid lunch for onsite staff.

Health Savings Accounts (HSA) & Flexible Spending Accounts (FSAs) – Includes a company match for HSAs.