Claims Coordinator

Job Description

The Claims Coordinator plays a vital role in supporting Breckpoints medical stop-loss operations by coordinating claim submissions maintaining accurate documentation and ensuring timely communication between internal teams brokers TPAs and policyholders. This role ensures smooth workflow across claims reporting policy issuance and ongoing account support contributing to the accuracy and efficiency of the overall underwriting and claims lifecycle.

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Roles and Responsibilities

Manage and monitor the stop-loss submission inbox to ensure timely routing and follow-up on incoming claims.

Manage the policy submission inbox and coordinate the intake of policy issuance documents.

Create assign track and update claim submissions in internal systems ensuring complete and accurate documentation.

Collaborate closely with the Claims and Underwriting Team along with other internal partners to coordinate claims reporting policy issuance and required follow-up items.

Respond promptly and professionally to status requests from TPAs brokers and internal stakeholders.

Maintain and reconcile daily weekly and monthly reporting from TPA and broker partners escalating discrepancies as needed.

Work with the Claims Director to monitor deadlines identify missing data and coordinate requests for additional information.

Assist in process improvement initiatives to enhance efficiency in claims intake tracking communication and documentation standards.

Support cross-functional activities between claims underwriting and policy administration as needed.

Perform other duties as assigned.

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Skills and Competencies

Strong relationship-building skills with the ability to collaborate effectively across the Alternative Risk team.

High attention to detail with strong organizational skills and the ability to manage high-volume workflows with competing deadlines.

Ability to multitask and adapt quickly in a fast-paced evolving environment.

Proficiency with Microsoft Office products and comfort learning new systems and platforms.

Professional phone email and written communication skills.

Solid math analytical and problem-solving abilities.

Demonstrated independent decision-making with awareness of impacts and downstream consequences.

Openness to learning adapting to new processes and adopting new tools or approaches to maintain a competitive advantage.

Strong critical-thinking skills and the ability to evaluate alternative solutions and approaches.

Consistent and thorough documentation skills including accurate data entry recordkeeping and workflow tracking.

Demonstrates a continuous improvement mindset proactively identifying opportunities to streamline operations.

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Education & Experience

High school diploma or equivalent; equivalent work experience is fully acceptable.

2 years of experience in medical insurance stop-loss claims processing or related healthcare administration roles preferred

Pay Details:

Candidates should be comfortable with an on-site presence to support collaboration team leadership and cross-functional partnership.

Why Join Us:

At Acrisure were building more than a business were building a community where people can grow thrive and make an impact. Our benefits are designed to support every dimension of your life from your health and finances to your family and future.

Making a lasting impact on the communities it serves Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Childrens Hospital in Grand Rapids Michigan UPMC Childrens Hospital in Pittsburgh Pennsylvania and Blythedale Childrens Hospital in Valhalla New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks including:

• Physical Wellness: Comprehensive medical insurance dental insurance and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

• and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race color religion sex national origin disability or protected veteran status. Applicants may request reasonable accommodation by contacting .

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome your new opportunity awaits you.