Claims Clerical Assistant jobs in United States
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NFP, an Aon company · 4 hours ago

Claims Clerical Assistant

NFP, an Aon company, is a leading organization in Business Insurance, and they are seeking a Claims Clerical Assistant to support their Claims Department. This role involves processing Medical Stop Loss Insurance claims and providing clerical and administrative assistance to ensure smooth operations while maintaining high standards for accuracy and customer service.

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H1B Sponsor Likelynote

Responsibilities

Export claim data into the claims system
Upload documentation, including high-dollar notices and monthly aggregate reports
Log High-Dollar Trigger Notifications for review by senior staff
Communicate with Third Party Administrators (TPAs) to request missing documentation
Assist in the intake, review, and documentation of claims, ensuring all necessary information is collected and entered accurately
Monitor claims for completeness, eligibility, and compliance with plan documents and stop loss policies
Prepare and organize claim files, correspondence, and reports for Claims Auditors and Managers
Support the Claims Team in appeals, audits, and special projects as directed by Claims Management
Maintain accurate records of claims, correspondence, and reports in both physical and electronic formats
Handle phone/email inquiries from clients, providers, and internal teams
Prepare and distribute denial letters, explanations of reimbursement, and other communications as needed
Assist with monthly and year-end reporting, including claims logs and reconciliation tasks
Handle other administrative tasks as requested by management
Provide timely updates and support to claimants, brokers, and TPAs regarding claim status and requirements
Ensure compliance with ECU’s policies, state regulations, and data privacy standards

Qualification

Insurance claims experienceMicrosoft Office SuiteMedical Stop Loss InsuranceICD/CPT codingAnalytical abilitiesOrganizational skillsAttention to detailCommunication skillsProblem-solving skills

Required

High school diploma or equivalent required
Prior experience in insurance claims, medical billing, or clerical support is highly desirable
Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
Strong organizational skills, attention to detail, and ability to manage multiple tasks in a fast-paced environment
Excellent written and verbal communication skills
Ability to work independently and collaboratively within a team

Preferred

Familiarity with Medical Stop Loss Insurance, ICD/CPT coding, and claims adjudication processes
Experience working with TPAs, self-funded employer groups, or in a Managing General Underwriter setting
Analytical abilities and problem-solving skills

Benefits

PTO & paid holidays
401(k) with match
Exclusive discount programs
Health & wellness programs

Company

NFP, an Aon company

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NFP, an Aon company, helps companies and individuals address today’s most significant Risk Capital and Human Capital challenges.

H1B Sponsorship

NFP, an Aon company has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (2)
2023 (4)
2022 (10)
2021 (3)
2020 (1)

Funding

Current Stage
Public Company
Total Funding
$948.45M
Key Investors
HPS Investment Partners
2023-12-20Acquired
2018-05-10Post Ipo Equity· $198.45M
2017-02-17Post Ipo Equity· $750M

Leadership Team

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Douglas Hammond
CEO
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Caleb Noel
Executive Vice President, Chief Financial Officer
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Company data provided by crunchbase