Claims Assistant

BRM; Philadelphia, Northern (Philadelphia County, KY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

BRM is seeking a detail-oriented Claims Assistant to provide administrative and operational support to the stop loss claims team. You will help manage claim submissions, maintain accurate records, monitor outstanding documentation, and support timely claim processing and reimbursement.

This hybrid Philadelphia role requires 3–5 years in claims support or related fields, proficiency with Microsoft Office, and strong organizational and communication skills.

Qualifications

• 3–5 years of claims support or related experience.
• Experience in a stop loss claims environment preferred.
• Experience with the David Young System (DYS/Connexure) preferred.
• Strong organizational, data-entry, and document-management skills.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Associate degree or relevant professional training preferred.

Responsibilities

• Receive, organize, and track stop loss claim submissions and related documentation.
• Review claim documentation for completeness and follow up on missing information.
• Maintain accurate claim records, electronic files, notes, and status updates.
• Monitor the claims inbox and respond to routine inquiries while escalating complex matters.
• Support Claims Analysts and Examiners with file preparation, documentation, and administrative tasks.
• Assist with claim status, eligibility, reimbursement, and documentation requests.
• Coordinate with third-party administrators, brokers, underwriting, accounting, and other partners.
• Track outstanding items, deadlines, and follow-up activities to support timely claim review and payment.
• Maintain confidentiality of health, financial, and business information.
• Identify issues, elevate exceptions, and assist with process improvements.
• Perform other duties and special projects as assigned.

Skills

Attention to detail

Organization

Data-entry

Communication skills

Multi-tasking

Confidentiality

Microsoft Office

Education

Associate degree

Professional training

Tools

DYS/Connexure

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

We are seeking a detail-oriented and organized Claims Assistant to provide administrative and operational support to our stop loss claims team. The Claims Assistant will help manage claim submissions, maintain accurate records, monitor outstanding documentation, and support timely claim processing and reimbursement.

Key Responsibilities

• Receive, organize, and track stop loss claim submissions and related documentation.
• Review claim documentation for completeness and follow up on missing information.
• Maintain accurate claim records, electronic files, notes, and status updates.
• Monitor the claims inbox and respond to routine inquiries while appropriately escalating complex matters.
• Support Claims Analysts and Examiners with file preparation, documentation, and administrative tasks.
• Assist with claim status, eligibility, reimbursement, and documentation requests.
• Coordinate with third-party administrators, brokers, underwriting, accounting, and other business partners.
• Track outstanding items, deadlines, and follow-up activities to support timely claim review and payment.
• Maintain confidentiality of health, financial, and business information.
• Identify issues, elevate exceptions, and assist with process improvements.
• Perform other duties and special projects as assigned.

Qualifications

• 3–5 years of experience in a claims support, insurance, healthcare, administrative, or customer service role.
• Experience working in a stop loss claims environment preferred.
• Experience with the David Young System (DYS/Connexure) preferred.
• Strong organizational, data-entry, and document-management skills.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Ability to manage multiple priorities while maintaining accuracy and attention to detail.
• Ability to handle confidential information with discretion.
• Associate degree or relevant professional training preferred.

What We're Looking For

The ideal candidate is dependable, detail-oriented, service-focused, and comfortable working in a fast-paced claims environment. Strong judgment, follow-through, communication, and the ability to work collaboratively with internal and external partners are essential.

• Location: Philadelphia, PA
• Work Arrangement: Hybrid
• Schedule: Monday in office; remote Tuesday–Friday
• Additional Office Days: May be required based on business needs