Claims Assistant

Jobtailor; Newtown Square (Delaware County); On-site; USD 36,000 - 48,000; Full time

Job summary

One80 Intermediaries is seeking a Claims Assistant to support the claims auditor by ensuring filings, documentation, and reports are accurately entered into our databases. The role emphasizes timely data entry, problem resolution for claimants, providers, and clients, and strict adherence to policies and state laws.

The successful candidate will manage high volumes of transactions, monitor emails, and help maintain accurate records.

Qualifications

• BA/BS preferred or HS diploma with six to twelve months related experience or equivalent
• Ability to process a high volume of transactions accurately
• Proficiency in Microsoft Office suite: Word, Excel, Outlook
• Ability to work independently and with others in a team environment

Responsibilities

• Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
• Ensures compliance with state laws, company policies, and procedures in all claim-related activities
• Monitors incoming emails and enters information into the database within 24 hours
• Enters 50% notices/Trigger Diagnosis Reports and alerts the nurse on potentially large claimants based on guidelines
• Enters LCM (Large Case Management) notices and notifies the nurse
• Processes claims, checks and SLAM Reports

Skills

High-volume transactions

Teamwork

Independent work

Education

BA/BS preferred or HS with related experience

Tools

Microsoft Office

Word

Excel

Outlook

Job description

We are looking for Claims Assistant to join our team. This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases.

Your Impact

• Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
• Ensuring compliance with state laws, company policies, and procedures in all claim-related activities
• Monitor incoming emails and enter information received in database within 24 hours
• Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount)
• Enter LCM (Large Case Management) notices and notify the nurse
• Process claims, checks and SLAM Reports

Successful Candidate Will Have

• BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and experience
• Ability to process high volume of transactions accurately
• Proficiency in using Microsoft Office suite, including Word, Excel, and Outlook
• Ability to work independently and with others in a team environment

About One80

One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform that offers deep specialization, scale, and innovation across wholesale brokerage, program administration, and specialty insurance. With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The platform combines entrepreneurial culture with operational excellence to deliver tailored solutions and long-term value across the insurance ecosystem.

One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Personal information submitted by California applicants in response to a job posting is subject to One80's California Job Applicant Privacy Notice.