Transtar Insurance Brokers, Inc.

Account Manager

• Serve as the primary point of contact for a book of mid-to-large employer groups.
• Deliver proactive, consultative service, including benefit plan design, renewal strategy, compliance guidance, and claims data analysis.
• Build and maintain strong relationships with clients, TPAs, stop-loss carriers, PBMs, and other vendor partners.
• Lead and facilitate client meetings, including stewardship reviews and renewal presentations.
• Ensure the timely and accurate delivery of all client deliverables, including open enrollment materials, compliance notices, and reporting.
• Assess current account management workflows and identify opportunities to enhance efficiency, consistency, and client experience.
• Develop, document, and roll out new procedures, service standards, and templates for internal use.
• Establish scalable onboarding and service models.
• Support the training and mentoring of junior staff in new processes and best practices.

Employee Benefits Account Manager

Benefits Account Manager

Billing Specialist

• Accurately identify billed medical services to determine acceptance or denial
• Identify complex bills and forward to Claims Adjuster
• File maintenance – clean up as necessary
• Processing medical payments as well as disability payments to injured contractors-print checks timely
• Attach proper documentation for checks issuance and approval
• Track mailing number if expedited for special checks and items
• Deductible tracking
• Coordination of benefits
• Work the Billing-Unresolved document queue as assigned
• Perform special projects as needed
• Perform assignments from Billing Supervisor
• Audit file payments as requested
• Upload emails, faxes and mail following established protocol
• Label items in claim files following established protocols
• Take on additional tasks from Billing Supervisor as needed
• Ask for additional work when caught up
• Assists Claim Adjusters through Billing Supervisor direction
• Watch for Special Instruction Banners
• Policy Expiration
• Secondary status versus primary status
• Previously paid
• Duplicates and medical bill coding reviews
• Items needing support
• Auditing

Legal Assistant

• Investigate and adjust occupational accident claims in accordance with established claims handling procedures
• Review medical, legal and miscellaneous invoices
• Authorize and make payment of occupational accident claims
• Process medically necessary and related bills
• Make supported and educated claim decisions timely
• Forecast potential exposure for reserving claims
• Have continued contact with policyholders
• Negotiate settlements, if appropriate
• Deliver quality claim service to clients
• Manage your time efficiently
• Use established forms and modify letters
• Review and document medical records
• Able to identify mechanism of injury vs symptoms vs non-related conditions
• Policy review and administration of benefits

Medical Occupational Accident Claims Adjuster / Workers' Compensation Paralegal / Legal Assistant

Claims Specialist

• Investigate automobile insurance claims to determine coverage, liability, and damages by reviewing policy terms, coverage limits, and exclusions.
• Communicate and collaborate with clients, claimants, agents, repair facilities, service providers, and attorneys to explain the repair and total loss processes.
• Appraise damaged vehicles and equipment using claims estimating software and prepare fair, accurate repair estimates virtually.
• Review and negotiate repair facility estimates; adjust supplements as necessary or assign independent adjusters when required.
• Manage the repair process from initiation through resolution and issue payments in accordance with authority guidelines.
• Complete total loss evaluations and explain salvage release requirements to clients and third-party claimants.
• Mitigate storage costs by coordinating vehicle transport to storage-free facilities and negotiating reduced rates with tow providers when applicable.
• Maintain accurate, thorough claim files, documentation, and activity logs in compliance with company procedures and regulatory standards.
• Identify potential subrogation opportunities, prepare supporting documentation, and submit demands to responsible parties or their carriers.
• Perform additional duties as assigned.

Employee Benefits Account Manager

Benefits Account Manager

Billing Specialist

Medical Occupational Accident Claims Adjuster / Workers' Compensation Paralegal / Legal Assistant

Auto Physical Damage Claims Specialist