Accident & Health Claims Specialist

One80 Intermediaries Inc.; Northern (KY); Hybrid; USD 51,577,000 - 54,443,000; Full time

Benefits offered by this job

Health benefits

401(k)

Paid time off

Job summary

One80 Intermediaries Inc. is seeking an Accident and Health Claims Examiner to join our growing team. You will review and analyze claims to ensure accurate processing in line with policy provisions and guidelines.

Responsibilities include obtaining documentation, applying policy provisions, and releasing accurate benefit payments. The role requires independence, strong communication skills, and intermediate proficiency in Microsoft Office.

Qualifications

• High School Diploma or equivalent.
• Ability to function independently within established guidelines.
• Excellent oral and written communication skills.
• Intermediate skill level in Microsoft Office programs.

Responsibilities

• Analyze and research claim issues of moderate to complex difficulty.
• Review and apply policy provisions in processing of claims received.
• Request and obtain necessary documents for claim processing/consideration, including follow-ups for documentation.
• Release accurate benefit payments in accordance with CBP policy and other applicable agreements.
• Receive inbound calls within assigned queues and/or as an overflow for the CSR team.

Skills

Interpersonal skills

Oral and written communication

Independence

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

One80 Intermediaries Inc. is seeking an Accident and Health Claims Examiner to join our growing team. You will review and analyze claims to ensure accurate processing in line with policy provisions and guidelines.

Responsibilities include obtaining documentation, applying policy provisions, and releasing accurate benefit payments. The role requires independence, strong communication skills, and intermediate proficiency in Microsoft Office.