Remote- Claims Intake
Posted 2025-03-14This position is responsible for reviewing and determining all claim requirements needed for initial and continuation claims. This position assists Care Managers and Care Coordinators, while also providing quality customer service to our policy holders, their representatives and providers.
RESPONSIBILITIES
1. Reviews internal databases, client guidelines, and policy contract language to determine all claim requirements needed for initial and continuation claims.
2. Reviews documented claim forms and contacts the insured, insured's representative, or provider to request information needed to process the benefit inquiry.
3. Keeps clear and concise documentation of all claim intake activity within the required databases.
4. Meets quality and production metrics as established and communicated by the department.
5. Processes requests from the client or from other departmental areas within illumifin.
6. Other duties as assigned.
Requirements
? Associates Degree or equivalent formal training program, or 2 years experience in the health or life insurance industry.
? 1- 3 years work experience in a claims environment preferred.
? Intermediate level experience with Microsoft Office products.
? Experience working in a geriatric healthcare environment.
? Knowledge of health, long-term care or disability insurance
? Excellent verbal and written communication skills.
Location
Home Address
Job Type: Full-time
Pay: From $18.50 per hour
Expected hours: 40 per week
Benefits:
? 401(k)
? 401(k) 3% Match
? 401(k) matching
? Dental insurance
? Flexible spending account
? Health insurance
? Health savings account
? Life insurance
? Paid time off
? Prescription drug insurance
? Referral program
? Retirement plan
? Vision insurance
? Work from home
Schedule:
? 8 hour shift
Experience:
? Microsoft Office: 1 year (Required)
? Customer service: 2 years (Required)
Work Location: Remote
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