Claims Processor

Overview

Join Amwins Self-Funded as a Claims Analyst and make an impactful contribution in the insurance industry. This primarily in-office role includes the option to work remotely up to two days per week after successful completion of training.

Why Work at Amwins?

• Flexible hybrid work arrangements with adaptable scheduling.
• Comprehensive benefits from day one, including paid holidays and generous Paid Time Off (PTO).
• Supportive, education-driven work culture emphasizing continuous learning.
• An annual bonus program that rewards individual performance and contribution to company success.

Key Responsibilities

• Gain a thorough understanding of Amwins’ business model and its product offerings with support from management and auditing leads.
• Communicate effectively and punctually with carriers, administrators, clients, and brokers using approved correspondence, ensuring Claims Lead is copied.
• Manage monthly claims reports for assigned accounts, ensuring delegation to the correct carriers and following up on any missing documents.
• Evaluate reimbursement requests for completeness and request additional information as needed.
• Secure approval from Claims Lead regarding eligibility documentation for time-offs exceeding twelve weeks prior to processing reimbursement claims.
• Submit and record reimbursement requests within authorized dollar limits, tracking and pursuing outstanding payments.
• Review and process reimbursements, informing designated contacts with accuracy and timeliness.
• Maintain internal claim tracking logs to ensure precise record-keeping.
• Oversee closure of client accounts by settling all reimbursements at the end of the plan year.
• Demonstrate adaptability by performing additional duties and collaborating effectively with team members.

Qualifications and Skills

• Preferably hold a college degree or possess equivalent practical experience.
• Comfortable using Microsoft Office suite, including Word, Excel, Outlook, and Teams.
• Strong critical thinking and problem-solving abilities.
• Maintain strict confidentiality in handling sensitive information.
• Excellent organizational skills to manage multiple tasks, shifting priorities, and meeting deadlines efficiently.
• Effective verbal and written communication skills with internal and external stakeholders.
• Sharp attention to detail combined with a strong sense of urgency.
• Keen enthusiasm to learn and understand Amwins’ business model thoroughly.

Additional Information

This description provides a general overview of the position and its requirements but is not exhaustive. Reasonable accommodations are available for individuals with disabilities to perform essential job functions.