Claims Examiner
2 weeks ago
Posting Description:
Participant Accident Claims Examiner / Health Insurance
K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events.
As a Claims Examiner, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance.
The Claims Examiner handles all assigned claims to a conclusion. Handles a high volume of claims and maintains Customer Service standards. Interacts with Carrier, Claimant, Health Care Providers, and Policyholders.
This is a hybrid role with the flexibility to work both virtually and 2-3 days per week at our Fort Wayne, IN office.
At Aon, we shape decisions for the better to protect and enrich the lives of people around the world.
As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues and clients succeed.
What the day will look likeConfirm coverage in system and verifies that both team and individual are sanctioned. Sends initial contact letter which also explains which benefits are available
Obtain information necessary for claim to be established in the claims system
Investigate to verify that injury occurred while claimant was participating in a covered event
Analyze medical bills for causal relationship to the accident/injury
Review Explanation of Benefits from primary insurance to determine obligation under our policy
If appropriate reprice medical bills through the PPO network and/or use system to see if procedures were reasonable and customary to establish proper payment.
Handle all inquiries from claimant, insured, or medical provider regarding the status of a claim
Comply with all rules, regulations, and laws regarding the payment of medical claim
Process/move and maintain claims within the claim's workflow and archival systems
Skills and experience that will lead to success
Accident and Health experience preferred either in a claim setting or as a medical biller/coder
Experience with working with third parties a plus
Experience with the Microsoft office suite products
Proficient typing skills necessary
Education
High School diploma or GED
How we support our colleagues
In addition to our comprehensive benefits package, we encourage a diverse workforce.
Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon.
Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself.We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work..
and we are all for it. We call this Smart WorkingOur continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued.
Aon values an innovative, diverse workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace.
Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status.
We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard.
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions.
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