We are looking for Claims Assistant to join our team. This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases.
Your Impact:- Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
- Ensuring compliance with state laws, company policies, and procedures in all claim-related activities
- Monitor incoming emails and enter information received in database within 24 hours
- Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount)
- Enter LCM (Large Case Management) notices and notify the nurse
- Process claims, checks and SLAM Reports
Successful Candidate Will Have:- BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and experience
- Ability to process high volume of transactions accurately
- Proficiency in using Microsoft Office suite, including Word, Excel, and Outlook
- Ability to work independently and with others in a team environment
About One80:One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2022, Business Insurance ranked One80 as the 5th Largest MGA/Underwriting Manager/Lloyd's Coverholder, and 5th Largest Underwriting Manager in the country.Located in Media, PA and established in 2007, Vista a One80 subsidiary, is a full-service Managing General Underwriter of Medical Stop Loss Insurance. We have full in-house binding authority to manage stop loss insurance across the United States on behalf of our leading carriers and reinsurers. Backed by a team of experienced professionals we provide best-in-class products and services to our partners and clientsOne80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.Learn more about working at One80 Intermediaries by visiting our careers page: www.one80.com/careers.