Telecommut
Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst. This is an in-office position, that offers the flexibility to work from home up to 2 days a week after completing training.
Why Choose Amwins?
At Amwins, we value our team members and offer a range of benefits to enhance your work experience:
- Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
- Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
- Continual Learning: Thrive in a collaborative, education-focused work environment.
- Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.
Responsibilities:
- 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.
- Education and Experience: A college degree or equivalent work experience is strongly preferred.
- Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
- Critical Thinking: The ability to critically think and problem-solve.
- Confidentiality: Ability to maintain strict confidentiality.
- Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines.
- Communication Skills: Effective written and verbal communication skills with both internal and external parties.
- Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
- Eager to Learn: Eagerness to learn Amwins business model is a necessity.
