Remote- Claims Intake
Posted 2025-04-05This position is responsible for reviewing and determining all claim requirements needed for initial and continuation claims. This position assists Care Managers and Care Coordinators, while also providing quality customer service to our policy holders, their representatives and providers.
RESPONSIBILITIES
1. Reviews internal databases, client guidelines, and policy contract language to determine all claim requirements needed for initial and continuation claims.
2. Reviews documented claim forms and contacts the insured, insured's representative, or provider to request information needed to process the benefit inquiry.
3. Keeps clear and concise documentation of all claim intake activity within the required databases.
4. Meets quality and production metrics as established and communicated by the department.
5. Processes requests from the client or from other departmental areas within illumifin.
6. Other duties as assigned.
Requirements
 Associates Degree or equivalent formal training program, or 2 years experience in the health or life insurance industry.
 1- 3 years work experience in a claims environment preferred.
 Intermediate level experience with Microsoft Office products.
 Experience working in a geriatric healthcare environment.
 Knowledge of health, long-term care or disability insurance
 Excellent verbal and written communication skills.
Location
Home Address
Job Type: Full-time
Pay: From $18.50 per hour
Expected hours: 40 per week
Benefits:
 401(k)
 401(k) 3% Match
 401(k) matching
 Dental insurance
 Flexible spending account
 Health insurance
 Health savings account
 Life insurance
 Paid time off
 Prescription drug insurance
 Referral program
 Retirement plan
 Vision insurance
 Work from home
Schedule:
 8 hour shift
Experience:
 Microsoft Office: 1 year (Required)
 Customer service: 2 years (Required)
Work Location: Remote
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