Amwins · 4 hours ago
Claims Data Processor
Amwins is a company in the insurance sector, seeking a Claims Data Processor to join their team at Stealth Partner Group. The role involves managing claims data, ensuring accurate correspondence and tracking, and collaborating with various stakeholders to facilitate claim processes.
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
A college degree or equivalent work experience is strongly preferred
Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred
The ability to critically think and problem-solve
Ability to maintain strict confidentiality
Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines
Effective written and verbal communication skills with both internal and external parties
A sense of urgency and attention to detail are necessities
Eagerness to learn Stealth's business model is a necessity
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.
Funding
Current Stage
Late StageRecent News
The Business Journals
2024-04-25
Insurance Business America
2024-04-25
2024-04-25
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