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Insurance Claims Service Agent
2 months ago
Location: Remote
Job Type: Full Time
Compensation: Hourly
Benefits: Comprehensive Medical, Dental, Vision, 401K, Life Insurance, Disability Coverage
ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS: Insurance Administrative Solutions (IAS) is a leading provider of administrative services tailored for the insurance sector. Our mission is to enhance operational efficiency for our clients through expert business process outsourcing. We leverage advanced technologies and industry knowledge to deliver exceptional customer service and reliable results. At IAS, we foster a collaborative environment where every team member's input is valued, promoting a culture of teamwork and excellence.
JOB SUMMARY: The Claims Assistance Representative is responsible for evaluating and resolving inquiries received via phone and written communication. This role involves interpreting insurance benefits in line with established claims processing protocols. The representative will also identify and communicate any issues related to the claims processing system to the relevant parties. Maintaining organized records and effectively managing information regarding benefits, coverage, and policy decisions is essential.
KEY RESPONSIBILITIES:
- Accurately interpret and communicate contract benefits to policyholders, agents, and service providers.
- Provide timely updates on claim statuses to clients and stakeholders.
- Prepare and send refund request letters, ensuring appropriate follow-up.
- Draft correspondence for customers as needed.
- Handle incoming calls professionally and efficiently, adhering to company policies.
- Make outbound calls to gather or provide necessary information.
- Document all interactions thoroughly to maintain a clear audit trail.
- Facilitate the transfer of calls to other departments as required.
- Engage in cross-training and team sessions to enhance overall service quality.
- Maintain open communication with supervisors and team members to ensure accurate information dissemination.
EDUCATION AND EXPERIENCE:
High School Diploma or equivalent required. A minimum of one year of experience in a fast-paced call center environment is essential. Experience in the medical or insurance field is preferred, particularly with Medicare Supplement plans.
BENEFITS:
- Medical, Dental, and Vision coverage starting the first of the month following hire.
- 401(k) with immediate vesting and company matching.
- 15 days of paid time off after 90 days of employment.
- Referral program and 11 paid holidays.
- Employee Assistance Program and Tuition Reimbursement.
SCHEDULE: Monday to Friday, 37-hour work week.
IAS is committed to providing equal employment opportunities.
