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Claims Support Assistant

2 months ago

Pittsfield, United States Guardian Life Insurance Company Full time

Business Title: Claims Support Assistant

At Guardian, we live our Purpose every day. As champions of wellbeing for ourselves, our communities, and consumers; we focus as a team to turn what's possible into a reality. We believe in your aspirations for purpose, leadership, and achievement in your professional and personal lives. We create experiences for you to grow, enrich your career and your future as a Claims Support Assistant by providing training to help build the core competencies you will need for success.

You Will

Providing exceptional customer service to our customers through various administrative tasks such as:
New Claim File Set Up
- Creating an electronic claim file within one business day from receipt of a claim notification.
- Utilize strong knowledge of numerous business systems to validate coverage and populate the Cypress Claim System with all applicable documentation.

Mail Management
- Manage mailing of letters and any other outgoing claims work for all three Individual Markets Claims areas. This includes drafting and tracking of electronic communications.
- Review documents for proper authorization prior to mailing.
- Coordinate daily reconciliation of EOB’s - (Explanation of Benefits) benefit checks, and any applicable attachments to ensure accurate mailing to our customers.

Expense & Claim Benefit Payment Processing
- Input of expense payments and administrative claim payments in Cypress, ensuring accuracy and receipt of all applicable tax reporting documentation needed.
- Responsible for generating the key outputs for the following day’s reconciliation process.

Reporting
- Completion of daily benefit check reporting
- Completion of monthly Reinsurance reporting
- Completion of yearly IRS Tax reporting

Claim File
- Ensuring accurate claim file documentation for information not processed by our vendor.
- Retrieval of claim information submitted via cloud storage and uploading to the claim file.
- Daily review of queues to provide instruction for indexing to our indexing vendor.
- Printing and collating documents from claim/underwriting files for Litigation or additional claim evaluation.

Functional Skills:

- Your attention to detail and strong communication skills, both written and verbal. Proficient in Word, Excel, and other general office computer skills. Possess the ability to manage multiple priorities all with a positive attitude and within established time expectations. Demonstrated ability to remain agile and contribute to a teamwork environment as well as to work independently.

You have
- Minimum of a High School diploma or equivalent
- Solid knowledge of computer fundamentals
- Knowledge of claim terminology preferred

**Location**:

- The primary location for this position is on campus Pittsfield, MA

5 days a week through initial training; then a 3-week hybrid rotation.

Travel:

- Minimal, less than 10% travel required for this position.

Salary Range

$34,910.00 - $52,362.50

Our Promise

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian’s Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.

Health Care- Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits- Dental plan- Vision plan- Health care accounts - flexible spending, health reimbursement, and health savings accounts- Critical illness insurance

Life and Disability Insurance- Company-paid Life and Disability insurance plus voluntary supplemental coverage- Accident insurance

Retirement and Financial- 401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable- Complimentary 1:1 financial guidance with a licensed Fidelity representative

Time Off and Remote Work- Flexible work arrangements (part in-person/part remote)- Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement- Personal holidays for colleagues to use in recognition of religious, cultural, or civic days- Paid parental leave and paid family and medical leave policies

Emotional Well-being and Work-Life- Emotional well-being, mental health, and work/life resources powered by Spring Health- Wellness programs, including fitness program and equipment reimbursement- Child, adult, and elder back-up care support through Bright Horizons- Adoption assistance- College planning- Tuition reimbursement- Student loan assistance- Commuter benefits in select metropolitan areas

Equal Employment Opportunity

Guardian is an equa

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