Claim Manager Assistant I

Vaga não está no LinkedIn

🔥 9 horas atrás

🏈 Alabama – Remoto

🏈 Alabama – Remote

💵 $18 - $19 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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MDD Forensic Accountants

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 1933

💸 Finanças

Finance • Insurance • Consulting

A MDD Forensic Accountants é uma empresa de perícia contábil especializada em avaliação de empresas, disputas societárias entre acionistas e quantificação de danos econômicos. Com mais de 40 escritórios no mundo, a MDD oferece expertise em uma ampla variedade de setores, prestando serviços a seguradoras, escritórios de advocacia, governos e pessoas físicas. Seus serviços incluem interrupção de negócios, lucros cessantes, investigações de fraude e outros, tornando-a uma assessora de confiança para decisões financeiras sólidas.

Descrição

• Provide exceptional internal and external Customer Support in a phone support role • Assist insureds, their representatives, and healthcare providers by supporting the processing of highly individualized claim inquiries • Professionally and appropriately respond and/or forward 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 active listening skills; professionally and appropriately • Prepare claims for Claim Manager review and adjudication • Process and document the daily administrative activities associated with claim notifications including pending, open, and closed claims, utilizing multiple tabs/screens working within a centralized work que • Responsible for input of accurate and detailed data and notes consistently meeting established standards • May perform additional duties and/or assist with special projects as required • 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 all documentation for completeness, credibility, consistency, and order • Ability to recognize possible process deficiencies and suggest viable solutions • Meet or exceed all established minimum expectations/metrics and goals for the position • Meet or exceed standards for productivity and quality as established for the role • Appropriately process all confidential information abiding by HIPAA privacy laws • Ensure smooth transition of inquiry to appropriate department if/when necessary

🎯 Requisitos

• 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 tact, diplomacy and professionalism when dealing with all types of customers • Ability to prioritize work using organizational and decision-making skills • Must be detail oriented with ability to work independently as well as be part of a team • Solid knowledge of Microsoft Office Products as well as other business-related software • Ability to learn new system applications quickly • Ability to quickly apply learned principles to specific and unique circumstances

🏖️ Benefícios

• Medical, dental, and vision plans to support your health and that of your family • A 401(k) plan with employer matching • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees • Paid holidays • Life insurance and short‑term and long‑term disability coverage • Paid sick leave, paid family and parental leave, and other mandated benefits