Claims Assistant

Allied Solutions LLC; Plano (TX); On-site; USD 34,000 - 42,000; Full time

Job summary

Allied Solutions LLC in Plano, Texas, is seeking an entry-level Claims Assistant to support the Claims and Recovery Department with front-line administrative tasks. This role offers coaching from leaders and exposure to a moderate case load.

Responsibilities include data entry, data reconciliation, verifying coverage, and preparing daily, weekly, and monthly reports as part of internal controls. High school diploma or GED is required, with room to grow within the company.

Qualifications

• Strong attention to detail.
• Ability to multitask.
• Structured work environment.
• High School Diploma or GED required.

Responsibilities

• Preparing data entries in accordance with established standards.
• Assessing reasonableness of data as well as identifying discrepancies, including reconciliations.
• Reconciling data for new claims to be set up in a claim platform.
• May include updating basic data discrepancies identified in reports.
• Verify coverage via internal system and attach support document to claims.
• Data Entry.
• Send out correspondence regarding claims.
• Introduction to report preparation as needed daily, weekly, monthly reports associated with the internal controls of the claim and/or recovery department.
• Projects related to support functions as needed.
• Other duties as they apply.
• Follow mandates required by state statues and regulation regarding claims correspondence.
• Ability to read and apply instructions, short correspondence, oral/written instructions and memos.
• Provide quality customer service to all clients, internal or external.
• Maintain a record of actions regarding claims in appropriate system(s).
• Effectively communicate to all parties.
• Promptly and efficiently respond to all email communications (4-8hrs).

Skills

Attention to detail

Multitasking

Structured work environment

Education

High School Diploma or GED

Job description

The Claims Assistant is an entry level position that partners with the Claims and Recovery Department providing front line administrative and general office support. Ideal candidates should possess strong attention to detail, the ability to multitask and work in a structured work environment. This role will be supported with ongoing coaching from leaders with a moderate case load.

Job Duties and Responsibilities

Claims Support (80%)

• Preparing data entries in accordance with established standards.
• Assessing reasonableness of data as well as identifying discrepancies, including reconciliations.
• Reconciling data for new claims to be set up in a claim platform.
• May include updating basic data discrepancies identified in reports.
• Verify coverage via internal system and attach support document to claims.
• Data Entry.
• Send out correspondence regarding claims.
• Introduction to report preparation as needed daily, weekly, monthly reports associated with the internal controls of the claim and/or recovery department.
• Projects related to support functions as needed.
• Other duties as they apply.

Understanding of claims compliance and state mandated regulations (10%)

• Follow mandates required by state statues and regulation regarding claims correspondence.
• Ability to read and apply instructions, short correspondence, oral/written instructions and memos.

Service Delivery to customers (10%)

• Provide quality customer service to all clients, internal or external.
• Maintain a record of actions regarding claims in appropriate system(s).
• Effectively communicate to all parties.
• Promptly and efficiently respond to all email communications (4-8hrs).

Qualifications (Education, Experience, Certifications & KSA)

• High School Diploma or GED required.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job.

We offer our employees a robust compensation package. Our comprehensive benefits include medical, dental and vision insurance coverage; 100% company-paid life and disability coverage, 401k options with company match, and three weeks PTO by the end of the first year. Allied proudly promotes from within as part of a strong commitment to providing career growth opportunities for employees of all levels.

All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.