Health In Tech · 12 hours ago

Claims Assistant

Full-time

Remote

Entry Level

$47K/yr - $47K/yr

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Responsibilities

Perform Claim Intake Process, which includes, but is not limited to:

Creating a new claim folder in our shared file system.

Uploading the claim documentation into the new claim folder.

Setting up a new claim record in the claims system.

Cross reference any duplicate filings and coordinate with the Claim Specialists in relation to closing the previous filing.

Retrieve all Monthly Aggregate Reports from the TPAs and input them into the system.

Add all High-Dollar Trigger Notifications into the applicable shared file and claims system, and then consult with Claims Management to determine if further action is needed.

Add Plan Documents ("PDs"), Summary Plan Descriptions ("SPDs"), and Stop Loss Policies into the corresponding claim folders, as well as send requests to Account Executives to pursue missing PDs/SPDs.

As needed, follow up with TPAs and Policyholders to check status of requests for information and documentation in pended claim scenarios.

Assist with the Aggregate Claim Reconciliation Process, by pursuing needed information/documentation.

Support Claims Team when directed by Claims Management (i.e., other duties, as assigned).

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Microsoft OfficeClaims experienceData entry experienceCustomer service skillsOutlookExcelWordQuality maintenance

Required

Requires a high school diploma or equivalent.

Strong analytical abilities, excellent verbal and written communication skills, sound organizational capabilities, and effective customer service skills are a must.

Highly proficient in Microsoft Office applications, especially Outlook, Excel, and Word.

Must have the ability to work effectively on a team, as well as work well independently.

Must be able to work in a fast-paced environment and maintain acceptable productivity, while maintaining a high level of quality.

Preferred

Bachelor's Degree is a plus.

Claims and/or data entry experience preferred.

Company

Health In Tech

Health In Tech (HIT) is an innovative insurance technology platform company that offers technical solutions to transform and improve efficiency in the healthcare industry with vertical integration, process simplification, and automation that removes friction and complexities.

Founded in 1964