Dynamic Accident & Health Claims Examiner

One80 Intermediaries Inc.; Clearwater (FL); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Health Benefits

401k

Student Loan Assistance

Tuition Reimbursement

Mental Health & Wellness

Job summary

One80 Intermediaries in Florida is seeking an Accident and Health Claims Examiner to join our growing team. You will review and analyze claims to ensure accurate processing according to policy provisions, and handle moderate to complex issues from intake to decision.

You will obtain necessary documentation, apply policy provisions, release accurate benefit payments, and document all actions in the claims system while coordinating with customers and internal teams.

Qualifications

• High School Diploma or equivalent.
• Ability to function independently within established guidelines.
• Excellent interpersonal, oral and written communication skills.
• Intermediate skill level in Microsoft Office programs.

Responsibilities

• Analyze and research claim issues of moderate to complex difficulty.
• Review workflows, policy certificates and policy provisions.
• Request and obtain necessary documents for claim processing and consideration.
• Release accurate benefit payments in accordance with CBP policy and agreements.
• Document follow-up information in the claim system.
• Handle inbound calls as part of the queue or CSR overflow.

Skills

Interpersonal communication

Written communication

Microsoft Office

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

One80 Intermediaries in Florida is seeking an Accident and Health Claims Examiner to join our growing team. You will review and analyze claims to ensure accurate processing according to policy provisions, and handle moderate to complex issues from intake to decision.

You will obtain necessary documentation, apply policy provisions, release accurate benefit payments, and document all actions in the claims system while coordinating with customers and internal teams.