Claims Assistant — Fast, Accurate Claim Processing

Quantdynamicss; Irving (TX); On-site; USD 35,000 - 45,000; Full time

Job summary

A consulting partner is seeking candidates for claims processing roles. You will be responsible for managing insurance claims, advising claimants, and ensuring documentation accuracy. Ideal candidates will have experience in customer service, attention to detail, and strong communication skills. This position is essential for maintaining operational efficiency within the company.

Qualifications

• Processes less complex or small standard claims.
• Verifies policyholder information and claim eligibility.
• Documents claims and associated history.

Responsibilities

• Enters insurance claims received electronically or in written form.
• Answers incoming customer calls regarding claim processing.
• Identifies need for additional information and contacts sources.

Job description

Description:
Processes less complex or small standard claims to ensure accurate and timely completion.

Requirements

What You Will Do:

Enters insurance claims received electronically or in written form.

Answers incoming customer calls regarding claim processing.

Documents claim and associated history.

Evaluates available information to validate straightforward basic claims.

Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.

Sends claim form to claimant for updating, correction or completion.

Identifies need for additional information; contacts appropriate source to obtain needed information.

Verifies beneficiary or claimant information if claim is warranted.

Identifies payment amount and obtains required management approvals for payment.

Advises claimant of status and resolution of claim.

Escalates claimant concerns as appropriate.

About the Company

Quant Dynamics Solutions is consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.