Claims Correspondence Analyst

Responsibilities

• Serve as a first point of contact for inquiries related to claims.
• Handle Explanation of Reimbursement (EOR) requests, claim status inquiries, general claim-related questions, and prescreening information received for initial claim file setups.
• Respond promptly and professionally to incoming requests regarding: EOR requests, claim status requests/updates and general claim questions from Account Management, Sales, Brokers, Policyholders and Third-Party Administrators.
• Review and prescreen information received for initial claim file setups.
• Maintain accurate records of all interactions and updates in the claims system and/or shared drive.
• Ensure compliance and company policies, regulatory requirements and confidentiality standards by ensuring that all external communications that contain PHI/PII are sent securely.
• Provide exceptional customer service by delivering clear, concise and professional communication.
• Complete all assigned requests within a 48 to 72-hour handling timeframe.

Qualifications

• A high school diploma.
• Prior experience in claims processing, healthcare administration or customer service is preferred.
• Strong organizational skills and attention to detail.
• Excellent verbal and written communication skills.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite software.
• A customer-focused mindset.
• Problem-solving and critical thinking skills.
• Time management and multitasking abilities.
• Adaptability in a dynamic environment.

Benefits

• Base Salary Range: $50,000 - $60,000.
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.