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Insurance Claims Processing Associate
2 months ago
As a medical claims support specialist, you will play a crucial role in ensuring the efficiency and effectiveness of the medical claims process for our clients. Your focus will be on personal injury protection medical coverage, where you will evaluate accident details, medical documentation, and relevant terminology. You will also manage claims while fostering strong relationships with clients. Bring your enthusiasm for assisting others, and we will provide you with the necessary training in insurance processes, empowering you to communicate confidently with clients.
This position offers a hybrid work model, allowing you to work in the office two days a week as determined by local management, while you can choose your work location for the remaining three days, whether at home or in the office, for a duration of 12 months. Following this period, the in-office attendance for essential meetings, training, and collaboration will be based on business requirements. In this hybrid setting, you will receive support from your supervisors and experienced colleagues to build relationships, create connections, and share best practices that are vital for your professional growth. If you prefer a full-time office environment, you are welcome to work in the office as frequently as you desire.
Responsibilities after Training
- Investigate policy contracts, regulations, and injury causes to make informed coverage decisions.
- Conduct research to understand the links between medical records and motor vehicle incidents, injuries, or health conditions.
- Identify and analyze wage loss expenses and documentation for payment evaluation.
- Review and interpret policy language when subrogation requests are received.
- Three years of relevant professional experience OR,
- A bachelor's degree OR,
- Two years of relevant experience combined with an associate degree.
Compensation
- Upon successful completion of training and passing any required assessments, your salary will range from $56,000 to $60,000 per year, with hourly pay during the training period based on your annual salary.
- Gainshare bonus potential of up to 16% of your eligible earnings based on company performance.
- 401(k) plan with a dollar-for-dollar company match up to 6%.
- Comprehensive medical, dental, and vision coverage, including free preventive care.
- Wellness and mental health initiatives.
- Flexible spending accounts, health savings accounts, and life insurance options.
- Paid time off and sick leave, including short and long-term disability.
- Parental and family leave, as well as military leave and pay.
- A diverse, inclusive, and welcoming workplace culture with Employee Resource Groups.
- Opportunities for career development and tuition assistance.
Equal Opportunity Employer
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