Claims Associate

AcrisureFlorence, AL
3dOnsite

About The Position

SUMMARY: Participates in the processing of insurance claims by performing the following administrative duties. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following; other duties may be assigned. -Review insurance claim forms and related documents (e.g., medical records) for required information. -Enter new claim setup information into claims management system (ClaimsXPress). Maintain existing files in claims management system. -Print and prepare outgoing letters and forms on behalf of claims adjusters. - Scan and sort incoming daily mail. -Pay claim-related expenses when authorized. -Handle incoming calls. Make outgoing calls as specifically required. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. QUALIFICATIONS: Strong organization skills, attention to detail, accuracy, and thoroughness in work are required. Ability to multi-task and prioritize work is required. Good verbal and written communication skills, as well as interpersonal skills, are needed. Basic computer skills are required, experience with Microsoft Word, Excel and Outlook preferred. EDUCATION and/or EXPERIENCE: A High School diploma or equivalent is required. Experience working in claims, or an equivalent combination of training, education, and experience, is preferred. A current and valid driver’s license within the state of practice is required. LANGUAGE SKILLS: Ability to read and interpret documents such as general business periodicals, general ledgers, and procedural manuals. Ability to respond to inquiry or complaints. Ability to write routine reports and business correspondence. Ability to effectively present information in one-on-one situations. REASONING ABILITY: Ability to solve problems and deal with situations where limited standardization exists. MATHEMATICAL ABILITY: Ability to calculate figures/amounts such as discounts, interest, proportions and percentages. COMMUNICATION: Communication for this position entails minimal contact with external constituents up to 20% of the time and extensive contact with internal constituents up to 80% of the time. PHYSICAL DEMANDS: The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; stand; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee may occasionally be required to lift up to 25 lbs. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The employee is occasionally required to drive a vehicle. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. Why Join Us: At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. Employee Benefits We also offer our employees a comprehensive suite of benefits and perks, including: Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time. Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription. Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs. Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage. … and so much more! This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com. California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. Welcome, your new opportunity awaits you. There are amazing opportunities for talented people in every part of our business. We invite you to find your next great opportunity with us. You can apply, track your progress and review new postings all in one place! To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure's property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure's Human Resources Talent Department.

Requirements

  • Strong organization skills, attention to detail, accuracy, and thoroughness in work are required.
  • Ability to multi-task and prioritize work is required.
  • Good verbal and written communication skills, as well as interpersonal skills, are needed.
  • Basic computer skills are required, experience with Microsoft Word, Excel and Outlook preferred.
  • A High School diploma or equivalent is required.
  • A current and valid driver’s license within the state of practice is required.
  • Ability to read and interpret documents such as general business periodicals, general ledgers, and procedural manuals.
  • Ability to respond to inquiry or complaints.
  • Ability to write routine reports and business correspondence.
  • Ability to effectively present information in one-on-one situations.
  • Ability to solve problems and deal with situations where limited standardization exists.
  • Ability to calculate figures/amounts such as discounts, interest, proportions and percentages.

Nice To Haves

  • Experience working in claims, or an equivalent combination of training, education, and experience, is preferred.

Responsibilities

  • Review insurance claim forms and related documents (e.g., medical records) for required information.
  • Enter new claim setup information into claims management system (ClaimsXPress). Maintain existing files in claims management system.
  • Print and prepare outgoing letters and forms on behalf of claims adjusters.
  • Scan and sort incoming daily mail.
  • Pay claim-related expenses when authorized.
  • Handle incoming calls. Make outgoing calls as specifically required.

Benefits

  • Comprehensive medical insurance, dental insurance, and vision insurance
  • life and disability insurance
  • fertility benefits
  • wellness resources
  • paid sick time
  • Generous paid time off and holidays
  • Employee Assistance Program (EAP)
  • a complimentary Calm app subscription
  • Immediate vesting in a 401(k) plan
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options
  • commuter benefits
  • employee discount programs
  • Paid maternity leave and paid paternity leave (including for adoptive parents)
  • legal plan options
  • pet insurance coverage
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