Claims Assistant
About the Role
This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases.
Key Responsibilities
- Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
- Ensuring compliance with state laws, company policies, and procedures in all claim-related activities
- Monitor incoming emails and enter information received in database within 24 hours
- Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount)
- Enter LCM (Large Case Management) notices and notify the nurse
- Process claims, checks and SLAM Reports
Qualifications
- BA/BS degree preferred or high school diploma with six to twelve months related experience and/or training; or equivalent combination of education and experience
- Ability to process high volume of transactions accurately
- Proficiency in using Microsoft Office suite, including Word, Excel, and Outlook
- Ability to work independently and with others in a team environment
About One80
One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform that offers deep specialization, scale, and innovation across wholesale brokerage, program administration, and specialty insurance. With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The platform combines entrepreneurial culture with operational excellence to deliver tailored solutions and long-term value across the insurance ecosystem.