Emergent Holdings · 3 hours ago
Claim Assistant
USA
Full-time
Remote
Entry Level
$37K/yr - $63K/yr
2+ years exp
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Responsibilities
Supports the customer service work and processes for the multi-functional claims team.
Answers general claim inquiries from providers and provide verification of claim status.
Communicates and collaborates with team members to ensure the appropriate and timely handling of claims. Supports the team as required.
Supports the account management process appropriately for the team's book of business.
Computes the proper payment for the medical bills for non-indemnity and simple indemnity claims directly associated with the accident or activity. Computation is based on knowledge of the treatment given the individual and its relationship to the injury to relieve and/or cure the injury sustained as well as workers’ compensation provisions in the state the employer is domiciled.
Provides administrative support to the Claims Department using word processing and spreadsheet applications. (Lien letters, timelines for medical treatment/events, etc.)
Ensures that all payments are made in an accurate and timely manner and that all files are closed to meet internal performance standards while complying with state legislation to avoid penalties and reduce the amount of supplemental bills.
Adheres to the Employee Code of Ethical Conduct.
Completes other duties and special projects as requested.
Qualification
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Required
High school diploma or G.E.D required.
At least 2 years of administrative experience.
Ability to work independently as well as in a multifunctional business unit is essential.
Effective oral and written communication skills are essential.
Excellent customer service and organizational skills are essential.
Ability to manage multiple priorities and adapt to changing workflow in order to still meet deadlines and goals are essential.
Proficient in Microsoft Windows.
Attention to detail and analytical skills required.
Ability to enter and verify alpha/numeric data accurately.
Preferred
College coursework in English, Mathematics, Business Administration or Administrative Management OR the equivalent in insurance-related course work and experience is required.
Certification, or progress toward, highly preferred and encouraged.
Previous experience in an insurance environment or previous knowledge of workers' compensation laws is desired.
Knowledge of medical terminology is preferred.
Company
Emergent Holdings
Emergent Holdings’ elite team makes lives, companies and communities better! Emergent Holdings is driven by a singular goal — improving the health and safety of our customers and our communities.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
John S. Roberts
Executive Vice President, Emerging Markets & Chief Administrative Officer
Brittanie Benson
Human Resources Business Partner
Company data provided by crunchbase
