MDD Forensic Accountants

Claim Manager Assistant I

MDD Forensic Accountants

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $19 - $20 per hour

About the role

  • 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
  • May perform additional duties as assigned

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
customer supportclaims processingdata entryfile managementdocumentation reviewmedical terminology
Soft Skills
active listeningorganizational skillsinterpersonal skillsverbal communicationwritten communicationtactdiplomacyprofessionalismdecision-makingdetail-oriented