Amwins · 2 weeks ago
Claims Data Processor
Bluffton, IN
Full-time
Hybrid
New Grad, Entry LevelAmwins is a dynamic company in the insurance sector, and they are seeking a Claims Data Processor to join their team. The role involves managing claims data, ensuring effective communication with various stakeholders, and maintaining accurate records to support the claims process.
Insurance
Responsibilities
Learn Stealth’s Business Model : Understand Stealth’s business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor
Effective Correspondence : Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead
Claim Reports Management : Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports
Reimbursement Request Review : Review submitted reimbursement requests for completeness and request any missing information
Eligibility Documentation Approval : Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request
Claim Submission and Tracking : Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments
Reimbursement Issuance : Review and issue reimbursements, notifying designated contacts accurately and in a timely manner
Claim Tracking Logs : Maintain internal claim tracking logs to ensure accurate records
Year-End Account Closure : Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client’s account
Adaptability and Team Collaboration : Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills
Qualification
Required
Critical Thinking: The ability to critically think and problem-solve
Confidentiality: Ability to maintain strict confidentiality
Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines
Communication Skills: Effective written and verbal communication skills with both internal and external parties
Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities
Eager to Learn: Eagerness to learn Stealth's business model is a necessity
Preferred
Education and Experience: A college degree or equivalent work experience is strongly preferred
Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred
Benefits
Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
Continual Learning: Thrive in a collaborative, education-focused work environment.
Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.
Company
Amwins
Amwins is the largest wholesale distributor of specialty insurance products and services in the U.S.
Founded in 1998
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Scott Purviance
Chief Executive Officer
Darin Stafford
Chief Financial Officer
Recent News
The Business Journals
2024-04-25
Insurance Business America
2024-04-25
2024-04-25
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