Claim Manager Assistant I

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🔥 0 minutes ago

🏈 Alabama – Remote

🏈 Alabama – Remote

💵 $18 - $19 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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MDD Forensic Accountants

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1933

💸 Finance

Finance • Insurance • Consulting

MDD Forensic Accountants is a forensic accounting firm specializing in business valuations, shareholder disputes, and economic damage quantification. With over 40 offices globally, MDD provides expertise across a wide range of industries, delivering services to insurance companies, law firms, governments, and individuals. Their services include business interruption, lost profits, fraud investigations, and more, making them a trusted advisor for sound financial decision-making.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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