Amwins
Claims Analyst
2155 North Main Street Suite 1 Bluffton, Indiana 46714
Sponsorship not specifiedDetected 25 days ago
ExcelCommunicationCollaborationCritical ThinkingAdaptabilityOrganizational SkillsMicrosoft Office
About the role
- Join Our Team as Claims Analyst at Amwins Self Funded, LLC.!
- Are you ready to make a meaningful impact in the dynamic world of insurance?
- Join Amwins Self Funded, LLC., as a Claims Analyst.
Responsibilities
- Learn Amwins Business Model: Understand Amwin's business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
- Effective Correspondence: Correspond accurately and timely with carriers, administrators, clients, and brokers using approved form letters and emails, with all correspondence copied to the Claims Lead.
- Claim Reports Management: Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
- Claim Tracking Logs: Maintain internal claim tracking logs to ensure accurate records.
- Understand Amwin's business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor.
- Manage monthly claim reports for the administration of the assigned book of business, ensuring forwarding to the appropriate carrier and following up on missing reports.
- Maintain internal claim tracking logs to ensure accurate records.
Requirements
- Critical Thinking: The ability to critically think and problem-solve.
- The ability to critically think and problem-solve.
- Education and Experience: A college degree or equivalent work experience is strongly preferred.
- Confidentiality: Ability to maintain strict confidentiality.
- Organizational Skills: Ability to multitask, adjust to changing priorities, and effectively manage time to meet deadlines.
- Communication Skills: Effective written and verbal communication skills with both internal and external parties.
- The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Nice to have
- A college degree or equivalent work experience is strongly preferred.
- Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
- Tech Proficiency: Proficiency with Microsoft Office products (Word, Excel, Outlook, and Teams) is preferred.
Skills
- Effective written and verbal communication skills with both internal and external parties.
- Communication
- Attention to Detail and Urgency: A sense of urgency and attention to detail are necessities.
- Eager to Learn: Eagerness to learn Amwin's business model is a necessity.
- The above is intended to describe the general content of and requirements for the performance of this job.
- It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements.
- Handle other duties and projects as assigned, showcasing adaptability and strong collaboration skills.
Compensation
- Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.
Benefits
- Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
- Continual Learning: Thrive in a collaborative, education-focused work environment.
- Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.
- Learn more about us at amwins.com/benefits.
- Reimbursement Request Review: Review submitted reimbursement requests for completeness and request any missing information.
- Eligibility Documentation Approval: Obtain approval from the Claims Lead on eligibility documentation noting time-off exceeding twelve (12) weeks before submitting a claim reimbursement request.
- Claim Submission and Tracking: Record and submit reimbursement requests to the appropriate carrier within authorized dollar authority, tracking and following up on outstanding payments.
- Reimbursement Issuance: Review and issue reimbursements, notifying designated contacts accurately and in a timely manner.
- Year-End Account Closure: Manage the settlement of all reimbursement requests at the end of the plan year to properly close the client's account.
This listing is sourced directly from Amwins's careers page and normalized into a canonical job model.