Claims Processor

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

Job summary

Amwins Self-Funded in Phoenix, AZ is seeking a Claims Analyst to join our in‑office team with the flexibility to work from home up to 2 days a week after training.

You will learn our business model under guidance, handle monthly claim reports, review reimbursement requests, and maintain accurate logs while collaborating with carriers, clients, and colleagues. This role emphasizes timely communication and strong attention to detail.

Qualifications

• A college degree or equivalent work experience is strongly preferred.
• Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
• Critical thinking and problem-solving abilities are essential.
• Ability to maintain strict confidentiality.
• Strong organizational skills with multitasking ability and deadlines.
• Effective written and verbal communication with internal and external parties.
• Attention to detail and a sense of urgency.
• Eagerness to learn Amwins business model.

Responsibilities

• Learn Amwins business model under the guidance of the Claims Manager and Lead Claims Auditor.
• Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
• Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
• Review submitted reimbursement requests for completeness and request any missing information.
• Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request.
• Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
• Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
• Maintain internal claim tracking logs to ensure accurate records.
• Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client’s account.
• Handle other duties and projects as assigned, showing adaptability and collaboration.

Education

College degree or equivalent

Tools

Microsoft Office (Word, Excel, Outlook, Teams)

Job description

Join Our Team as Claims Analyst at Amwins Self-Funded!

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self‑Funded as a Claims Analyst. This is an in‑office position that offers the flexibility to work from home up to 2 days a week after completing training.

Why Choose Amwins?

• 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.

Responsibilities

• Learn Amwins Business Model: Understand Amwins business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
• Effective Correspondence: Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
• Claim Reports Management: Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
• Reimbursement Request Review: Review submitted reimbursement requests for completeness and request any missing information.
• Eligibility Documentation Approval: Obtain approval from the Claims Lead on eligibility documentation noting time‑off exceeding twelve (12) weeks before submitting a claim reimbursement request.
• Claim Submission and Tracking: Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
• Reimbursement Issuance: Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
• Claim Tracking Logs: Maintain internal claim tracking logs to ensure accurate records.
• Year‑End Account Closure: Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client’s account.
• Adaptability and Team Collaboration: Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills.

Qualifications

• Education and Experience: A college degree or equivalent work experience is strongly preferred.
• Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
• Critical Thinking: The ability to critically think and problem‑solve.
• Confidentiality: Ability to maintain strict confidentiality.
• Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines.
• Communication Skills: Effective written and verbal communication skills with both internal and external parties.
• Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
• Eager to Learn: Eager to learn Amwins business model is a necessity.

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