Claims Associate
Company: Larkin Benefit Administrators
Location: Atlanta
Posted on: September 17, 2024
Job Description:
Description:We are seeking a dedicated and detail-oriented
Claims Associate to manage a diverse portfolio of leave pay and
disability claims. As a Claims Associate, you will be responsible
for administering disability and leave pay claims for multiple
clients, adhering to client policies and plan guidelines. You will
ensure claims are processed accurately and efficiently while
maintaining high standards of customer service and
documentation.
Job Title: Claims AssociateReports To: Operations ManagerFLSA
Status: Non-Exempt
Learn about Gold Standard service delivery while focusing primarily
on claim success.
Job Duties and Essential Functions
- Administer a full workload of disability and/or leave pay
claims for multiple (8+) clients per client policies and plan
guidelines. Claims administration includes, but is not limited
to:
- Confirming plan eligibility and whether a claim is
payable;
- Reviewing medical documentation and communicating with
healthcare providers;
- Opening/approving/extending/closing claims;
- Drafting letters to be sent to employees regarding disability
benefits, including denial letters;
- Calculating reductions;
- Maintaining high-quality employee disability claim files
according to set standards and naming conventions; and
- Providing excellent customer service by processing payments in
a thorough and timely manner.
- Collaborate with Employee Success team members by answering
questions regarding pay eligibility, documentation required, client
policies, and benefits.
- Communicate regularly with Employee Success team members, Team
Leads, employees, and client contacts to ensure the accurate
coordination between client leave compensation pay and other income
replacement benefits.
- Weekly self-audits; claim status reports sent to manager with
explanation of any outliers.
- Able to take on additional work with short notice (e.g. client
needs to be taken over on short notice due to business needs).
- When required, coordinate between short-term disability
insurance carriers, worker's compensation insurance providers, and
the employee.
- Participate in client meetings, company-wide off-site meetings,
and training programs which may require some infrequent
travel.
- Available to back up multiple accounts.
- Perform other duties as assigned in order to meet business
needs.
- Expected to work 40 hours per week.
- Expected to report to the office five days per week; at six
months of tenure, the ability to work a hybrid schedule including
at least two days in the office per week is assessed based on
performance. Hybrid work schedules are subject to change depending
on performance and business needs.
- Perform above duties in the office between regular business
hours: Monday to Friday, 8am to 5pm (EST)Requirements:
- A Bachelor's degree in Business Administration, Human
Resources, Healthcare Administration, Finance, Accounting, or a
related field is required.
- Minimum of 1 year of relevant financial-processing work
experience in claims administration, human resources, healthcare
administration, or finance/accounting. Experience with insurance
companies or in the insurance industry is a plus.
- Proficient typing and strong knowledge of MS Excel and MS
Word.
- Always focused on providing excellent customer service.
- Ability to prioritize tasks and focus on the most important
ones.
- Ability to communicate effectively with colleagues, leadership,
clients, and employees.
- Have a system for keeping track of work to ensure that the work
is done on time and accurately.
- Ability to identify and solve problems quickly and
efficiently.
- Willing to learn and take on new challenges.
- Takes the initiative to understand the why behind things.
- Receptive to feedback and embraces continuous improvement.
- Planning ahead, managing time well, being on time, and thinking
of better ways to do things.
- Being helpful, respectful, approachable and team-oriented,
building strong working relationships and contributing to a
positive work environment.
- Excellent follow through and common sense.
- Excellent attention to detail.
- Strong organizational, quantitative, and verbal/written
communications skills.
- Ability to comprehend a variety of informational documents
including, but not limited to, disability plan documents and client
leave policies.
- Ability to comprehend and interpret a variety of reference
books and manuals including administrative manual, personnel
policies, and state and federal regulations.
- Ability to keep abreast of any changes in law, policy, methods,
procedures, etc. as they pertain to clients.To learn more about The
Larkin Company, our culture, and the generous benefits we offer,
check out our company website:
https://thelarkincompany.com/careers
The above job description is meant to describe the general nature
and level of work being performed; it is not intended to be
construed as an exhaustive list of all responsibilities, duties,
and skills required for the position.
At The Larkin Company, we are committed to creating an inclusive
and diverse work environment. We are proud to be an equal
opportunity employer and do not discriminate against any employee
or applicant based on race, color, religion, sex, sexual
orientation, gender identity, national origin, age, disability,
veteran status, or any other legally protected characteristics. We
believe that diverse perspectives and experiences drive innovation
and success. All qualified candidates are encouraged to apply.
The salary for this position is determined based on several
factors, including relevant skills and experience, industry
knowledge, market rates, geographic location, and internal equity.
We aim for transparency and fairness in our compensation practices
and welcome any questions during the hiring process.
Compensation details: 50000-60000 Yearly Salary
PI6687e530a324-37248-35326392
Keywords: Larkin Benefit Administrators, East Point , Claims Associate, Accounting, Auditing , Atlanta, Georgia
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