Lead Healthcare Claims Assistant

Lead Healthcare Claims Assistant

Location: New York or Chicago

Work Schedule: Hybrid

Employment Type: Full time

Role Overview

As a Lead Healthcare Claims Assistant, you will play a critical role in the claims team by managing claim intake flow and supporting claims operations. You will become part of a growing and evolving team with the ability to make immediate impact while working closely with your colleagues and taking ownership of critical issues relating to the overall claims operations.

This is a great role for a self-starting independent thinker looking to leverage their skills in a fast-paced environment supporting a new team. As part of this opportunity, you will have an integral part in developing processes and identifying efficiencies in all parts of healthcare claims operations.

Key Responsibilities

• Manage claims intake email inbox and triage initial notices accordingly.
• Set up claim files by performing data entry, electronic data filing, sending out acknowledgment emails, and filing same to the electronic file.
• Book bordereaux data received in regular intervals.
• Respond to and manage loss run requests.
• Perform close activities and prepare reports on an as-needed basis.
• Electronically file additional correspondence and monitor claim activity for escalation to claims personnel.
• Input data into spreadsheets, databases, and other departmental systems.
• Draft, prepare, and process various types of correspondence including acknowledgment of new claims.
• Respond to general inquiries and relay basic information to internal and external business partners.
• Assist other claims personnel as needed during the claims process and ensure adherence to company claims policies and procedures.
• Assist in special projects such as file reviews, statistical studies, or workflow analysis.
• Perform other general clerical duties such as copying, filing, answering phones, and operating office equipment.

What You Bring

• High School or GED required. College preferred. Adjuster licensed preferred. Prior healthcare or casualty experience strongly preferred.
• 7 years of relevant and progressive claims, administrative, clerical, or support
• Ability to apply knowledge of principles, practices, and procedures with minimal supervision.
• Strong written and verbal communication skills with an emphasis on confidentiality and professionalism.
• Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously.
• Intermediate to advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)

What We Offer

• Competitive salary and comprehensive benefits package
• Strong learning culture with ongoing development opportunities
• Opportunities for growth and career advancement
• Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment
• Basic life and disability insurance
• 401(k) plan with 6% company match
• 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off
• Paid parental leave
• Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription
• Student loan matching program
• Employee discount program
• An opportunity to do meaningful work and love what you do

Pay Transparency

The pay range for this position is $29.90-$51.35/hr, which includes geographic adjustments, where applicable. The pay range is the range TMHCC, in good faith, believes is the range of compensation for this role at the time of this posting. The hired applicant will be offered pay within the entire range based on the candidate's geographic location, qualifications, work experience, education, and/or skill level. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color, race, sex, national origin, sexual orientation, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws.

Disclaimer

As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. Where not restricted by law and for criminal history not covered by this law, the Company will consider qualified applicants with arrest or conviction history in compliance with applicable law.

About Us

Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom, Europe, and other exciting locations. With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don't even know exist. Every policy we write is special, enabling our clients to do amazing things.

From insuring the crops that feed us to the rock concerts that entertain us, to rescuing international travelers in trouble, we offer more than 100 classes of specialty insurance.

Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on opportunity with confidence. That philosophy defines our way of thinking, unites us as a team and differentiates us from our competitors. We are much more than just an insurance company; we are a Good Company.

Equal Opportunity Employer

TMHCC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity, genetic information, marital status, medical condition, national origin, physical or mental disability, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances.