Claims Assistant

We are looking for a Claims Assistant to join our team. Responsibilities Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies. Ensures compliance with state laws, company policies, and procedures in all claim‑related activities. Monitors incoming emails and enters information received in the database within 24 hours. Enters 50% notices/Trigger Diagnosis Reports and alerts nurses on any potentially large claimants based on the guidelines established (diagnosis and/or dollar amount). Enters LCM (Large Case Management) notices and notifies the nurse. Processes claims, checks, and SLAM Reports. Qualifications BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training (or equivalent combination of education and experience). Ability to process a high volume of transactions accurately. Proficiency in using Microsoft Office suite (Word, Excel, Outlook). Ability to work independently and with others in a team environment. Equal Opportunity Employer One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status or other legally protected characteristics. #J-18808-Ljbffr