Managed Care Claim Assistant I at AmTrust Financial
Job Description
Managed Care Claim Assistant I
| Requisition ID | JR1004884 | Category | Managed Care | Position Type | Regular Full-Time |
Overview
AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Claim Assistant I within our Managed Care organization where your talent and abilities contribute to our competitive edge. The Managed Care Claims Assistant I will perform a variety of support services to our Worker's Compensation Managed Care department as described below, with oversight from Clerical Supervisor. The Managed Care Claims Assistant I maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust and Claims organization.
Responsibilities
- Reviewing records with high attention to detail regarding documentation and accuracy to determine eligibility of requests.
- Generates letters from system templates, arranges distribution of response letters following proper handling procedures.
- Coordinates with adjusters, nurses, and others as needed to obtain claims or clinical information necessary for processing or assignment.
- Prioritizes requests and referrals based on review type, urgency of need while ensuring jurisdictional timeframes and department turnaround times are met.
- Meets or exceeds industry standards of daily productivity while maintaining accuracy.
- Accurately documents within multiple systems to reflect actions taken in response to referrals and requests.
- Performs general maintenance of claims documents across various systems.
- Adheres to any compliance changes as directed by supervisor.
- Other administrative tasks as assigned.
Qualifications
- General knowledge of workers' compensation claims procedures and policies
- Ability to take direction, think critically, and make decisions
- Self-organized and detail oriented
- Ability to learn new procedures quickly and adapt to a changing environment
- Professional telephone demeanor and good oral and written communication skills
- Ability to work well under pressure and multi-task in a fast-paced environment
- Basic understanding of business technology
- Ability to work in a team environment
Education:
- High school diploma
- Some college preferred
- 1- 3 years of experience in a worker's compensation claims department or related experience
The expected salary range for this role is $20.00-$27.50/HR.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
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What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
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