Claims Clerk jobs in Fort Wayne, IN

Hybrid remote after 3 months of training (ability to work from home 2 days a week)

Office is located in Bluffton IN

Pay - 19 to 21 an hour based on previous experience, opportunity for growth

Benefits offered day 1 of employment including Medical, Dental, Vision

Bonus incentive offered after 1 year of employment - opportunity to earn up to 6-9% of your annual salary in a bonus based on performance

Qualifications:

• Exceptional written and verbal communication skills
• Previous administrative, insurance, customer service or claims experience
• Microsoft Office experience

Job Description:

• Understand the company's 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.

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