Current jobs related to Claims Administrator - Mendota Heights - North Risk Partners
-
Medical Claims Analyst
2 weeks ago
Sterling Heights, United States Robert Half Full timeJob DescriptionJob DescriptionWe are offering a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This role is in the healthcare benefits industry and will primarily be focused on disability claims analysis. The job function includes analysing and adjusting disability claims, reviewing disability...
-
Insurance Claims Examiner
4 weeks ago
Arlington Heights, Illinois, United States The Auto Club Group Full timeJob DescriptionWe are seeking a highly skilled Insurance Claims Examiner to join our team at The Auto Club Group. As a key member of our claims team, you will be responsible for handling complex insurance claims, analyzing policyholder benefits, and ensuring that all claims are processed in a timely and efficient manner.Key Responsibilities:Review and...
-
Claim Specialist
4 weeks ago
Arlington Heights, Illinois, United States The Auto Club Group Full timeJob Title: Claim SpecialistWe are seeking a highly skilled Claim Specialist to join our team at The Auto Club Group. As a Claim Specialist, you will be responsible for handling complex insurance claims, analyzing coverage, and negotiating settlements.Key Responsibilities:Review and analyze insurance claims to determine coverage and liabilityConduct thorough...
-
Claims Operations Specialist
3 weeks ago
Berkeley Heights, NJ, United States Westfield Specialty, Inc. Full timeWe're seeking a skilled Claims Operations Specialist to serve as a business analyst for Westfield Specialty Claims. In this role, you'll assist in creating and refining business and functional requirements for claims processing and administration, as well as third-party solutions and reporting integrations.Key Responsibilities:Lead and support various...
-
Medical Claims Specialist
3 weeks ago
Richmond Heights, Virginia, United States Behavioral Health Services of Virginia Full timeWe are seeking a highly skilled and detail-oriented Medical Biller to join our team at Behavioral Health Services of Virginia. As a Medical Biller, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.Key Responsibilities:Prepare and submit billing data and medical claims to insurance companies in a timely and...
-
Client Accounts Specialist
4 weeks ago
Mendota Heights, Minnesota, United States Ellie Mental Health Full timeJob Title: Client Accounts SpecialistAt Ellie Mental Health, we're committed to providing exceptional care to our clients. As a Client Accounts Specialist, you'll play a vital role in ensuring our clients receive the best possible experience.Responsibilities:Provide exceptional customer service to clients and providers, addressing statement and insurance...
-
Claims Business Analyst, Medicare Advantage
3 weeks ago
Linthicum Heights, United States CommuniCare Family of Companies Full timeCommuniCare Health Services is currently recruiting for the position of Claims Business Analyst for our Medicare Advantage plan! This is a fully remote position. PURPOSE/BELIEF STATEMENT The position of Business Analyst (Claims) reports directly to Director of Operations with strong collaborative relationships with Appeals, Provider Relations and...
-
Claims Business Analyst, Medicare Advantage
3 weeks ago
Linthicum Heights, United States CommuniCare Corporate Full timeCommuniCare Corporate - CommuniCare Health Services is currently recruiting for the position of Claims Business Analyst for our Medicare Advantage plan! This is a fully remote position.PURPOSE/BELIEF STATEMENTThe position of Business Analyst (Claims) reports directly to Director of Operations with strong collaborative relationships with Appeals, Provider...
-
Medical Administrator
2 months ago
Mayfield Heights, United States Robert Half Full timeJob DescriptionJob DescriptionWe are offering a contract to hire employment opportunity for a Medical Administrator in the Healthcare, Hospitals, and Social Assistance industry located in MAYFIELD HEIGHTS, Ohio. As a Medical Administrator, you will be responsible for managing healthcare services and administrative tasks in a hospital...
-
Administrative Coordinator
4 weeks ago
Arlington Heights, Illinois, United States Neuro Health Arlington Heights Full timeAdministrative Assistant OpportunityNeuroHealth, a well-established pediatric and adult clinical psychology/neuropsychology/forensic psychology practice, is seeking an Administrative Assistant to support our office team. Responsibilities: Assist clinicians with scheduling and initial patient intake processing Process insurance claims and manage accounts...
-
Diagnosis Related Group Clinical Validation Auditor
3 months ago
Mendota Heights, United States Elevance Health Full timeJob Description : Diagnosis Related Group Clinical Validation Auditor Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Diagnosis Related Group Clinical Validation Auditor is responsible for auditing inpatient medical records to ensure...
-
Financial Transactions Specialist
4 weeks ago
Mendota Heights, United States Equiniti Full timeJob Title: Financial Transactions ProcessorEquiniti is a leading international provider of shareholder, pension, remediation, and credit technology. With over 6000 employees, it supports 37 million people in 120 countries.EQ US is a leading provider of ownership data management, analytics and advisory services to public and private companies as well as...
-
Mendota Heights, Minnesota, United States Equiniti Full timeRole SummaryEquiniti is a leading international provider of shareholder, pension, remediation, and credit technology. With over 6000 employees, it supports 37 million people in 120 countries. The company offers a comprehensive product set, including transfer agency services, cap table management, equity compensation services, proxy solicitation and advisory...
-
Office Administrator
4 weeks ago
Dearborn Heights, Michigan, United States The Salvation Army USA Central Territory Full timeJob SummaryThe Office Manager plays a vital role in supporting the daily operations of our organization. This position is responsible for overseeing all aspects of the office, ensuring a smooth and efficient work environment.Key ResponsibilitiesFront Desk Operations: Greet visitors, provide direction, and maintain a clean and organized reception...
-
Account Manager
2 weeks ago
Mendota Heights, United States Equiniti Full time***This role is on-site--must be located near Mendota Heights, MN*** EQ is a leading international provider of shareholder, pension, remediation and credit technology. With over 5,000 employees, it supports 37 million people in 120 countries. EQ's purpose is to care for every customer and simplify every transaction, delivered with less of an impact on the...
-
Account Manager
3 days ago
Mendota Heights, United States Equiniti Full time***This role is on-site--must be located near Mendota Heights, MN*** EQ is a leading international provider of shareholder, pension, remediation and credit technology. With over 5,000 employees, it supports 37 million people in 120 countries. EQ's purpose is to care for every customer and simplify every transaction, delivered with less of an impact on the...
-
Call Center Representative
3 days ago
Mendota Heights, United States Equiniti Full timeManagement LevelI***THIS ROLE WILL BE ONSITE AT OUR MILWAUKEE, WISCONSIN OFFICE***THIS IS A TEMPORARY ROLE LASTING 5-7 MONTHSStart Date: December 16th, 2024 Equiniti is a leading international provider of shareholder, pension, remediation, and credit technology. With over 6000 employees, it supports 37 million people in 120 countries.EQ US is a leading...
-
Securities Services Specialist
6 days ago
Mendota Heights, United States Equiniti Full timeManagement LevelI***This is a permanent, part-time role [20 hours per week] and will be fully onsite in our Mendota Heights officeEquiniti is a leading international provider of shareholder, pension, remediation, and credit technology. With over 6000 employees, it supports 37 million people in 120 countries.EQ US is a leading provider of ownership data...
-
Retail Store Administrative Assistant
6 months ago
Yorktown Heights, United States Dick's Sporting Goods Full timeAt DICK’S Sporting Goods, we believe in how positively sports can change lives. On our team, everyone plays a critical role in creating confidence and excitement by personally equipping all athletes to achieve their dreams. We are committed to creating an inclusive and diverse workforce, reflecting the communities we serve.If you are ready to make a...
-
Senior Payroll Administrator
3 weeks ago
Maryland Heights, Missouri, United States Graybar Full timeAs a Payroll Administrator at Graybar, you will be responsible for performing a wide range of record keeping and payroll processing activities to ensure timely and accurate payroll.Key responsibilities include preparing and processing Company payroll(s), tracking and deducting all garnishments and other special payroll deductions, and handling all...
Claims Administrator
2 months ago
Job Type
Full-time
Description
North Risk Partners is a fast-growing firm dedicated to serving the insurance and risk management needs of businesses and individuals. Our team consists of over 425 employees working in over 30 locations across five states, including Minnesota, Iowa, North Dakota, South Dakota, and Nebraska. North Risk's team is values-driven with a common mission of service - to our clients, to each other, and to our community.
At North Risk Partners, our #oneTEAM lives out #oneMISSION: to provide extraordinary #service to our clients, to each other, and to our communities. Our team environments are designed to provide #oneTEAM members opportunity to focus on collaborative relationships (clients and team), variety from day-to-day and constant learning, and the tools and resources to learn and grow at work and in life.
The Claims Administrator will serve as a property and casualty claims advocate on behalf of North Risk's clients. This position works closely with Risk Advisors across the company. The Claims Administrator will resolve issues for clients by developing trusted relationships and serving as an expert advocate.
PRIMARY RESPONSIBILITIES:
- Provide service, expertise, and guidance to insured(s) and claimant(s) with a planned approach for prompt, fair handling of property and casualty claims.
- Aid on claim denials and reservation of rights to ensure coverage is applied appropriately.
- Develop action plans on high exposure claims.
- Work on accounts that receive additional services.
- Monitor specific claims with a goal to insure reserve and claims handling accuracy.
- Work with insurance adjusters to obtain the best claim resolution. Challenging in a respectful way.
- Coordinate and conduct claim review meetings.
- Set priorities and manage workflow to ensure efficient, timely, and accurate product by utilizing the company's software system(s).
- Collaborate with Risk Advisors to identify claim issues, potential solutions, strategies, and services for clients.
- Prepare and analyze loss history, experience modifications, and claims reports to identify loss trends with the goal of reducing the cost of risk.
- Mentor Associate Claims Administrators.
EDUCATION, EXPERIENCE, AND CERTIFICATIONS:
- A combination of education and experience generally attained through Bachelor's or Associate's Degree and a minimum of 6+ years work experience in property and casualty insurance.
- Property and Casualty insurance license (or obtain within 120 days).
- Thorough knowledge of commercial insurance coverage and claims processes.
- Negotiation and policy interpretation skills.
- Strong written and verbal skills.
- Maintain internal and external relationships with professionalism.
- Travel as necessary for client meetings.
- Professional designation (AIC, CPCU etc.) strongly preferred.
- Ability to carry out complex tasks with many variables.
- Proficient in Excel, Word and Database programs.
- Knowledge of ModMaster and basic concepts.
- Strong client empathy.
- A role model for North Risk Partners' core values, mission, and desired culture
- Demonstrate enthusiasm and a positive attitude
- A self-starter who takes initiative to identify problems and lead by example
- Effective oral and written communication skills to effectively represent North Risk Partners as an employer of choice
- Ability to build strong, constructive relationships with a diverse range of clients, and organizational partners to discover common goals for a positive experience
- Strong attention to detail with excellent organizational skills
- Professionally and positively represent North Risk Partners to all coworkers, clients, and external stakeholders
- A team player who collaborates and works well with his/her coworkers
- A professional who demonstrates the ability to carry on a conversation with clients, Risk Advisors, and other coworkers within North Risk Partners
- Incumbent must be able to use telephone, calculator, copy machines, computers, printers and other office equipment.