Claims Coordinator
AcrisureAbout the role
About Acrisure:
Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.
Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.
Job Summary:
The claims coordinator supports the needs of the claims team. Ensures the timely and successful delivery of our solution(s) to our team as well as Provider/Member needs as they relate to the claims processes. Improves the entire Claims and Provider/Member experience exceeding expectations.
Roles and Responsibilities
Answer provider/member claims incoming calls for company.
Manage provider/member data while maintaining compliance with HIPAA.
Ensure appropriate measures are taken to resolve provider/member challenges.
Keep records of client interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
Attend the needs of the provider/member and continually seeking ways to add value to the relationship.
Enter medical claims received from providers into the claims system.
Maintain Claims processing daily quota.
Reprice claims received from providers.
Look up Claims status, plan specifications and generate EOB’s.
Maintain Claims inbox to support Provider/Member needs.
File electronic and paper documents as needed.
Provide general office support when needed.
Have strict attention to detail in catching errors and inconsistencies in data.
Competencies/Skills:
Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Speaking — Talking to others to convey information effectively.
Service Orientation — Actively looking for ways to help people.
Reading Comprehension — Understanding written sentences and paragraphs in work related documents.
Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
Interacting with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time.
Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
Clerical — Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
Can-do Attitude
Think “Outside-the-box”
Time Management – Ability to work on and toggle between multiple projects to ensure completion
High Attention to Detail
Supervisory Responsibility
This position does not supervise any team member.
Work Environment
This job operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Position Type/Expected Hours of Work
This is a full-time position. Hours of work are Monday through Friday for a total of 40 hours per week.
Software
Microsoft Office 365
Adobe Acrobat Professional
Webex
In-house Software
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are
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