Claims Processor

About the Role at Amwins Self-Funded, LLC

Join Amwins as a Claims Processor and contribute significantly to the fast-paced insurance sector. This position is primarily onsite in Scottsdale, AZ, with the opportunity to work remotely up to two days per week after successful completion of training.

Why Work with Amwins?

• Enjoy a hybrid work setting with flexible hours to balance your professional and personal life.
• Benefit from a comprehensive package including paid time off and holidays from your first day.
• Grow in a supportive environment that prioritizes ongoing education and teamwork.
• Participate in an annual bonus program designed to reward your contributions and achievement of company goals.

Key Responsibilities

• Acquire in-depth knowledge of Amwins’ business model and the insurance products supported, guided by Claims management and lead auditors.
• Ensure timely and precise communication with carriers, administrators, clients, and brokers using standardized templates, keeping the Claims Lead informed.
• Manage monthly claim reporting for assigned clientele, forwarding necessary information to carriers and tracking missing reports diligently.
• Review reimbursement requests thoroughly to guarantee completeness, and solicit any absent details.
• Obtain necessary approvals for eligibility documentation, especially for time-off exceeding twelve weeks, before progressing claims.
• Record, submit, and monitor reimbursement claims within authorized spending limits and follow up on pending payments.
• Audit and issue reimbursements accurately while informing the designated contacts promptly.
• Maintain detailed internal logs for all claims to ensure accuracy and accountability.
• Oversee the closure of client accounts by settling reimbursement requests at the end of each plan year.
• Demonstrate flexibility by undertaking additional tasks and projects as delegated, boosting team collaboration.

Qualifications and Skills

• A college degree or comparable professional experience is highly desirable.
• Familiarity with Microsoft Office Suite (Word, Excel, Outlook, Teams) is beneficial.
• Strong analytical and critical thinking abilities.
• Ability to uphold strict confidentiality standards.
• Excellent organizational capabilities, adept at multitasking and meeting deadlines amidst shifting priorities.
• Effective communication skills for interacting with internal teams and external stakeholders.
• Keen attention to detail combined with a proactive sense of urgency.
• Strong motivation and willingness to comprehend Amwins’ business processes and insurance models.

Additional Information

This job summary outlines the primary expectations and requirements but is not exhaustive. Reasonable accommodations are available to support candidates with disabilities in performing essential duties.