Claims Intake Specialist

Reviewing and determining claim requirements for initial and continuation claims, the full-time Claims Intake Specialist will assist Care Managers and Care Coordinators while providing quality customer service to policyholders, their representatives, and providers. Key responsibilities Review internal databases, client guidelines, and policy contract language to determine claim requirements Contact insured parties or providers to request information needed for processing benefit inquiries Maintain clear documentation of all claim intake activities within required databases Required qualifications High school diploma or equivalent; additional education in finance or insurance preferred Experience in customer service or claims processing is a plus Familiarity with insurance policies and claims procedures Proficiency in using databases and documentation systems Ability to meet established quality and production metrics