Claim Processor Work from home
Amwins
Join Our Team as a Claims Processor at Amwins Self-Funded, LLC!
Are you ready to make a meaningful impact in the dynamic world of insurance? as a Claims Processor. This is an in-office position, that offers the flexibility to work from home up to 2 days a week after completing training.
At Amwins, we value our team members and offer a range of benefits to enhance your work experience:
Enjoy a hybrid work environment with flexible scheduling options.
Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.
Learn Amwins Business Model : Understand Amwins business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
Effective Correspondence : Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
Claim Reports Management : Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
Reimbursement Request Review : Review submitted reimbursement requests for completeness and request any missing information.
Eligibility Documentation Approval : Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request.
Claim Submission and Tracking : Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
Reimbursement Issuance : Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
Claim Tracking Logs : Maintain internal claim tracking logs to ensure accurate records.
Year-End Account Closure : Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client's account.
Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills.
A college degree or equivalent work experience is strongly preferred.
Tech Proficiency : Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
The above is intended to describe the general content of and requirements for the performance of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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