Claims Analyst

Overview

Amwins Self-Funded, LLC is seeking a Claims Analyst to join their team in Scottsdale, AZ. This full-time role primarily operates from the office with an option to work remotely up to two days per week after completing initial training. This position offers an opportunity to make a significant contribution within the evolving insurance sector.

Why Work with Amwins?

• Enjoy a flexible hybrid work arrangement with adaptable scheduling options.
• Benefit from a comprehensive package including competitive benefits, paid time off, and paid holidays starting from day one.
• Engage in continuous learning within a collaborative and education-focused workplace.
• Participate in an annual bonus scheme rewarding performance and key contributions to the company's success.

Primary Responsibilities

• Gain a thorough understanding of Amwins’ business model and supported insurance products under the guidance of the Claims Manager and Lead Claims Auditor.
• Communicate accurately and promptly with carriers, administrators, clients, and brokers using approved correspondence, while keeping the Claims Lead copied.
• Handle monthly claims reporting, ensuring delivery to the correct carrier and following up on missing items.
• Assess reimbursement requests for completeness and request additional details when necessary.
• Secure Claims Lead approval on eligibility documentation, especially for leaves extending beyond twelve weeks, before submitting claims.
• Submit and track reimbursement claims within authorized limits, following up on outstanding payments with carriers.
• Review and process reimbursements, ensuring timely and precise notifications to relevant contacts.
• Maintain comprehensive internal claim tracking records to ensure accuracy.
• Manage year-end account settlements by closing client accounts properly through reimbursement request resolution.
• Support other duties and participate in team projects, demonstrating flexibility and collaboration.

Qualifications

• A college degree or similar work experience is strongly encouraged.
• Familiarity with Microsoft Office tools, including Word, Excel, Outlook, and Teams, is preferred.
• Strong critical thinking and problem-solving capabilities.
• Ability to uphold strict confidentiality standards.
• Effective multitasking and organizational skills to manage shifting priorities and meet deadlines.
• Excellent written and verbal communication skills for engaging with internal teams and external contacts.
• High attention to detail coupled with a sense of urgency.
• A strong desire to understand the company’s business model comprehensively.

Additional Information

This job description outlines key duties and qualifications but is not exhaustive. Reasonable accommodations will be provided for individuals with disabilities to fulfill the essential job functions.