What are the responsibilities and job description for the Claims Associate position at Larkin Benefit Administrators?
Description :
Job Title : Claims Associate
Reports To : Operations Manager
FLSA 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 two times per month as directed by manager.
Perform above duties in the office between regular business hours :
Requirements :
Compensation details : 50000-60000 Yearly Salary
PI27a0f860b953-30511-36617247