Aggregate Claims Specialist

Amwins; Tempe (AZ); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Hybrid work environment

Competitive benefits from day one (PTO

Continual learning

Annual bonus program

Job summary

Amwins Self-Funded is seeking an Aggregate Specialist to join our team in Tempe, AZ. This in-office role offers flexibility to work from home up to 2 days a week after training, supporting aggregate claim management for Self-Funded clients by collaborating with Third-Party Administrators.

You will learn our business model, become a subject matter expert on the aggregate claim process, and perform tasks from reporting to coordination of annual/monthly submissions, with a strong focus on accuracy

Qualifications

• Education or equivalent experience required or strongly preferred.
• Proven ability to learn new business processes and product knowledge.
• Ability to handle confidential information with discretion.
• Ability to multi-task in a fast-paced environment.
• Strong time management and organizational skills.
• Excellent written and verbal communication with internal and external stakeholders.

Responsibilities

• Claims Processing: Learn internal responsibilities related to aggregate claim process.
• Subject Matter Expert: Become SME on aggregate claim process for Amwins Self-Funded.
• Administrative Tasks: Manage aggregate stop-loss claims, report requests, review, research, and resolution of discrepancies.
• Aggregate Reporting: Complete and review monthly aggregate reports across assigned accounts.
• Aggregate Accommodation Oversight: Review and communicate findings for monthly aggregate accommodation product.
• Professional Communication: Communicate clearly and timely with stakeholders about aggregate claims.
• Resource Management: Maintain carrier resource information for annual/monthly submissions.
• Adaptability: Undertake other duties and projects as assigned.

Skills

Eagerness to Learn

Education or Equivalent Experience

Technical Proficiency

Confidentiality

Adaptability

Time Management

Team Collaboration

Organizational Skills

Communication Skills

Urgency and Attention to Detail

Education

College degree or equivalent experience

Tools

Microsoft Office (Word, Excel, Outlook, PowerPoint)

Job description

Join Our Team as an Aggregate Specialist at Amwins Self-Funded!

Are you eager to become a key player in our success story? We are looking for an enthusiastic Aggregate Specialist to join our dynamic team. In this role, you will learn the Amwins Self-Funded business model, understand our supported products, and play a pivotal role in providing exceptional aggregate claim management services for our Self-Funded clients by working with Third-Party Administrators. This is an in-office position that offers flexibility to work from home up to 2 days a week after completion of training.

Why Choose Amwins?

At Amwins, we prioritize our team members and offer a range of benefits:

• Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
• Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
• Continual Learning: Thrive in a collaborative, education-focused work environment.
• Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.

Learn more about us at amwins.com.

What You’ll Do:

• Claims Processing: Acquire expertise in all internal responsibilities related to the aggregate claim process.
• Subject Matter Expert: Become an Amwins Self-Funded subject matter expert on the aggregate claim process.
• Administrative Tasks: Coordinate and manage administrative tasks related to aggregate stop-loss claims, including report requests, review, research, and resolution on discrepancies, claim filing, and information requests.
• Aggregate Reporting: Complete and review monthly aggregate reports across all assigned accounts.
• Aggregate Accommodation Oversight: For accounts utilizing the monthly aggregate accommodation product, conduct enhanced review, communicate findings, and processing related claims as needed.
• Professional Communication: Communicate professionally, timely, clearly, and accurately with internal and external stakeholders regarding aggregate claims or the claim process.
• Resource Management: Build and maintain carrier resource information required for annual and monthly aggregate claim submissions.
• Adaptability: Undertake other duties and projects assigned.

What You’ll Bring:

• Eagerness to Learn: A passion for learning our business model and understanding the products we work with.
• Education or Equivalent Experience: College degree or equivalent work experience is strongly preferred.
• Technical Proficiency: Proficiency with Microsoft Office products, including Word, Excel, Outlook, and PowerPoint.
• Confidentiality: Ability to maintain strict confidentiality.
• Adaptability: Capability to multi-task and adjust to changing priorities in a fast-paced environment.
• Time Management: Proven ability to effectively manage time, prioritize workload, and meet deadlines.
• Team Collaboration: Strong teamwork skills; ability to work cooperatively and jointly with various staff members.
• Organizational Skills: Strong organizational and multi-tasking skills.
• Communication Skills: Ability to effectively communicate, both written and verbally, with internal and external parties.
• Urgency and Attention to Detail: Sense of urgency and attention to detail are necessities.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.