Claims Coordinator

Job Description

Summary/Objective


The Claims Coordinator supports the Claims team by ensuring accurate, timely processing and resolution of medical claims. This role serves as a key point of contact for providers and members, delivering responsive service while maintaining compliance and data integrity. The coordinator contributes to efficient claims operations and works to improve the overall provider and member experience.

Responsibilities

• Respond to incoming provider and member inquiries related to claims via phone and email
• Review, research, and resolve claim issues in a timely and professional manner
• Assist with repricing claims in accordance with plan guidelines and pricing methodologies
• Verify claim status, review plan specifications, and generate Explanation of Benefits (EOBs)
• Maintain and manage the Claims inbox to ensure timely follow up and resolution of requests
• Document all interactions, including inquiries, complaints, and actions taken, in the system
• Ensure all activities comply with HIPAA and company data privacy standards
• Monitor and maintain daily claims related productivity expectations
• Support provider and member needs by proactively identifying solutions and improving outcomes
• File and organize electronic and paper documentation as required
• Provide general administrative and office support to the Claims team as needed

Requirements

• 1+ years of experience in an administrative, customer service, claims support, or related office environment.
• Strong customer service skills with the ability to communicate professionally and effectively with clients, customers, and internal teams.
• Excellent attention to detail and accuracy when reviewing, processing, and maintaining records and documentation.
• Analytical and problem-solving skills with the ability to research information, identify discrepancies, and resolve issues.
• Proficiency in Microsoft Office applications, including Outlook, Word, and Excel.
• Strong organizational and time management skills with the ability to prioritize multiple tasks and meet deadlines.
• Ability to maintain confidentiality and handle sensitive information with professionalism.
• Effective written and verbal communication skills.
• Ability to work independently as well as collaboratively within a team environment.
• High school diploma or equivalent required; additional education or related training is a plus.

Pay Details:

The base compensation range for this position is $0 - $0. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
  
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
  
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
  
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
  
• ... and so much more!
  

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting View email address on click.appcast.io.

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.