On-Site Health Insurance Claims Specialist

Integrity; Clearwater (FL); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical/Dental/Vision Benefits

401(k) Company matching

PTO + Holidays

Referral program

Tuition Reimbursement

Job summary

Insurance Administrative Solutions is a third-party administrator for insurers, seeking a claims adjudicator to examine inquiries, interpret benefits, and maintain audit trails. You will handle communications with policyholders, providers, and agents with professionalism and accuracy in a fast-paced environment.

Based in Clearwater, FL, this on-site role emphasizes teamwork, cross-training, and a structured 37-hour work week, with benefits including health coverage and PTO.

Qualifications

• Minimum of one year related experience in a fast paced call center.
• Experience in medical/insurance preferred.
• Experience with Medicare Supplement preferred.

Responsibilities

• Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.
• Provide claim status to policyholders or providers with a positive and professional approach.
• Send out refund request letters and follow-up as necessary.
• Produce correspondence to customers.
• Answer calls as required by company policy in a helpful, professional, timely manner.
• Document (written/on-line) all calls while in progress.
• Fully document policy file or imaging system with all related material for audit trail.

Skills

Call center experience

Insurance knowledge

Medical insurance familiarity

Education

High School Diploma or GED equivalent

Job description

Insurance Administrative Solutions is a third-party administrator for insurers, seeking a claims adjudicator to examine inquiries, interpret benefits, and maintain audit trails. You will handle communications with policyholders, providers, and agents with professionalism and accuracy in a fast-paced environment.

Based in Clearwater, FL, this on-site role emphasizes teamwork, cross-training, and a structured 37-hour work week, with benefits including health coverage and PTO.