Claims Coordinator

About Acrisure:

Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters including Insurance Reinsurance Cyber Services Mortgage Origination and more.

Acrisure employs over 17000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation client centricity and an indomitable will to win.

Job Summary:

The claims coordinator supports the needs of the claims team. Ensures the timely and successful delivery of our solution(s) to our team as well as Provider/Member needs as they relate to the claims processes. Improves the entire Claims and Provider/Member experience exceeding expectations.

Roles and Responsibilities

• Answer provider/member claims incoming calls for company.

• Manage provider/member data while maintaining compliance with HIPAA.

• Ensure appropriate measures are taken to resolve provider/member challenges.

• Keep records of client interactions or transactions recording details of inquiries complaints or comments as well as actions taken.

• Attend the needs of the provider/member and continually seeking ways to add value to the relationship.

• Enter medical claims received from providers into the claims system.

• Maintain Claims processing daily quota.

• Reprice claims received from providers.

• Look up Claims status plan specifications and generate EOBs.

• Maintain Claims inbox to support Provider/Member needs.

• File electronic and paper documents as needed.

• Provide general office support when needed.

• Have strict attention to detail in catching errors and inconsistencies in data.

Competencies/Skills:

• Active Listening Giving full attention to what other people are saying taking time to understand the points being made asking questions as appropriate and not interrupting at inappropriate times.

• Speaking Talking to others to convey information effectively.

• Service Orientation Actively looking for ways to help people.

• Reading Comprehension Understanding written sentences and paragraphs in work related documents.

• Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions conclusions or approaches to problems.

• Getting Information Observing receiving and otherwise obtaining information from all relevant sources.

• Interacting with Computers Using computers and computer systems (including hardware and software) to program write software set up functions enter data or process information.

• Establishing and Maintaining Interpersonal Relationships Developing constructive and cooperative working relationships with others and maintaining them over time.

• Documenting/Recording Information Entering transcribing recording storing or maintaining information in written or electronic/magnetic form.

• Clerical Knowledge of administrative and clerical procedures and systems such as word processing managing files and records stenography and transcription designing forms and other office procedures and terminology.

• Cando Attitude

• Think Outsidethebox

• Time Management Ability to work on and toggle between multiple projects to ensure completion

• High Attention to Detail

Supervisory Responsibility

• This position does not supervise any team member.

Work Environment

• This job operates in a clerical office setting. This role routinely uses standard office equipment such as computers phones photocopiers filing cabinets and fax machines.

Position Type/Expected Hours of Work

• This is a fulltime position. Hours of work are Monday through Friday for a total of 40 hours per week.

Software

• Microsoft Office 365

• Adobe Acrobat Professional

• Webex

• Inhouse Software

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.

Benefits

Comprehensive benefit package which includes company sponsored Medical Dental Short Term Disability Long Term Disability and Basic Life Insurance. In addition we offer Vision Vacation (Paid Time Off) Holiday pay 401K Supplemental Insurance and more.

EEO Statement

The Company is an Equal Opportunity Employer. To remain competitive we must attract develop motivate and retain the most qualified employees regardless of age race religion gender disability national or ethnic origin and/or any other status protected by law.

Candidates seeking employment with Solutions Management Inc. should be prepared to successfully complete a preemployment background check prior to beginning employment.

Acrisure is committed to employing a diverse workforce. All applicants will be considered foremploymentwithout attention to race color religion age sex sexual orientation gender identity national origin veteran or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure/privacy/caapplicant.

To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisures property and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisures Human Resources Talent Department.