Remote Claims & Reimbursements Specialist (Hybrid)

Amwins; United States; Hybrid; USD 42.000 - 65.000; Vollzeit

Benefits dieser Stelle

PTO

Paid holidays

Annual bonus program

Learning & development

Zusammenfassung

Amwins Self-Funded, LLC is seeking a Claims Processing Associate for a primarily in-office role with the flexibility to work from home up to 2 days a week after training. You will learn the Amwins business model, communicate with carriers and clients, and manage monthly claim reporting and reimbursements.

The role emphasizes accuracy, confidentiality, and teamwork, with a benefits package including PTO, holidays, and a performance-based annual bonus.

Qualifikationen

• Diploma or equivalent work experience preferred.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, Teams).
• Strong critical thinking and problem-solving abilities.
• Ability to maintain confidentiality.
• Excellent organizational and time-management skills.
• Strong written and verbal communication abilities.
• Attention to detail and sense of urgency.
• Eagerness to learn Stealth’s business model.

Aufgaben

• 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.

Kenntnisse

Critical Thinking

Confidentiality

Organizational Skills

Communication Skills

Attention to Detail

Eagerness to Learn

Multitasking

Ausbildung

Diploma or equivalent work experience

Tools

Microsoft Office

Word

Excel

Outlook

Teams

Jobbeschreibung

Amwins Self-Funded, LLC is seeking a Claims Processing Associate for a primarily in-office role with the flexibility to work from home up to 2 days a week after training. You will learn the Amwins business model, communicate with carriers and clients, and manage monthly claim reporting and reimbursements.

The role emphasizes accuracy, confidentiality, and teamwork, with a benefits package including PTO, holidays, and a performance-based annual bonus.