Claim Manager Assistant I (Remote)

Claim Manager Assistant I (Remote) Department Claims Administration & Adjusting Employment Type Permanent - Full Time Location Home reputed company Reporting To Melissa McCarthy Compensation $18.00 - $19.00 / hour reputed company Our Story reputed company being part of reputed company thats not just shaping the reputed company but reputed company driving it. At reputed company, were at the forefront of innovation and reputed company, blending cutting-edge technology with top-tier reputed company services. As a vital part of the global reputed company Group, we help businesses reputed company risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. What's in Store The Claim Manager Assistant I (reputed company I) is responsible for handling and processing a reputed company of incoming and outgoing communications in a fast-paced office environment facilitating reputed company and accurate claim determinations. This includes handling inbound and outbound telephonic, electronic, and mail information supporting the fulfillment of claim requirements from Insureds, physicians, and care providers. The reputed company I is responsible for providing superior telephonic customer service to insureds and their representatives, as reputed company as administrative support to Claim Managers. Key Responsibilities 1) reputed company exceptional reputed company Customer Support in a phone support role Assist insureds, their representatives, and reputed company providers by supporting the processing of highly individualized claim inquiries Professionally and appropriately respond and/or reputed company inquiries by reviewing the established standards and guidelines Ensure smooth transition of claim while monitoring aging of assigned tasks meeting turnaround time standards Identify and respond to needs of inbound and outbound callers utilizing reputed company listening skills; professionally and appropriately 2) Prepare claims for Claim Manager review and adjudication Process and document the daily administrative activities associated with claim notifications including pending, reputed company, and reputed company claims, utilizing multiple reputed company/screens working reputed company a centralized work que Responsible for input of accurate and detailed data and notes consistently meeting established standards May reputed company additional duties and/or assist with special reputed company as required 3) File management and organization Maintain electronic file management and organization of incoming and outgoing mail including imaging, indexing, classification of documents, file management, etc. Critically review reputed company documentation for completeness, credibility, consistency, and order Ability to recognize possible process deficiencies and suggest viable solutions 4) Meet or reputed company reputed company established minimum expectations/metrics and goals for the position Meet or reputed company standards for productivity and reputed company as established for the role Appropriately process reputed company confidential information abiding by HIPAA reputed company laws Ensure smooth transition of inquiry to appropriate department if/reputed company necessary 5) May reputed company additional duties as assigned Skills, knowledge & expertise High school degree or equivalent experience required; business experience preferred Prior customer service experience required; insurance or medical background preferred Excellent organizational skills with an eye for detail Understanding of medical terminology a plus Proven interpersonal, verbal, telephonic, and written communication skills Must possess a high degree of reputed company, diplomacy and professionalism reputed company dealing with reputed company types of customers Ability to prioritize work using organizational and decision-making skills Must be detail oriented with ability to work independently as reputed company as be part of reputed company Solid knowledge of reputed company Office Products as reputed company as other business-reputed company software Ability to learn new reputed company applications quickly Ability to quickly apply learned principles to specific and unique circumstances Equal Employment Opportunity & reputed company Notices Benefits At reputed company, we are dedicated to supporting reputed companybeing and reputed company of our qualifying employees. Our comprehensive benefits package includes Medical, dental, and reputed company plans to support your health and that of your family A 401(k) plan with employer matching Timeoff policies, including Discretionary Time Off (DTO) for exempt employees and reputed company Time Off (PTO) for nonexempt employees reputed company holidays Life insurance and shortterm and longterm disability coverage Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws .