Claims Processing Specialist

The work we do has an impact on millions of lives, and you can be a part of it.

We help protect our customers against life’s uncertainties. Regardless of where you work within the company, you’ll be helping provide protection and peace of mind when our customers need it most.

The Claims Operations Associate will play a crucial role in the administration of the Statutory Claims department. This position involves entering claims-related data into our corporate systems to maintain accurate and up-to-date information necessary for claim adjudication. The role requires a detail-oriented and analytical approach to ensure data integrity and compliance with company policies. The Claims Operations Associate will collaborate with various business functions and contribute to the overall efficiency and effectiveness of the claims process.

• Lead the printing and collation of daily statutory claims payments and form mailing processes.
• Register new claims by inputting claimant, employer, and health care provider data from source documents.
• Review data for deficiencies or errors, correct any incompatibilities, and verify output.
• Research and obtain further information for incomplete or indiscernible submissions.
• Perform outreach to claimants, policyholders, and health care providers to obtain necessary information for claims processing.
• Achieve and exceed departmental claim registration productivity goals and quality standards.
• Promote a positive customer experience through prompt, accurate, and courteous service.
• Maintain confidentiality and comply with data integrity and security policies.
• Respond to queries for information and access relevant files.
• Contribute to a positive work environment and support departmental and corporate goals.
• Perform additional support functions as directed by management, including scanning documents, printing files, mailing correspondence, addressing returned mail, managing the claim email box, and assisting with overpayments.

• Outstanding written and verbal communication skills.
• Experience in Data Entry, processing, or customer service.
• Proficiency in Microsoft Office programs.
• Knowledge of medical terminology is preferred.
• Understanding of federal and state laws pertaining to leaves of absence is a plus.

• High school diploma or equivalent.
• 1-2 years of data entry experience or administrative experience is preferred.

This role is in-person in our New York office located at 1983 Marcus Ave, New Hyde Park, NY.

The core hours for this role at 9am-5pm EST.

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Employee Benefits:  

We aim to protect our employees' wellbeing through a broad benefits offering. For example, we protect physical wellbeing through health, dental and vision insurance. We protect mental wellbeing through mental health benefits and an employee assistance program. We protect time away from work with a variety of paid time away benefits (e.g., paid time off, paid parental leave, short-term disability, and a cultural observance day). We protect financial wellbeing through contributions to healthcare accounts, a pension plan, and a 401(k) plan with Company matching. All employees are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, Protective’s platform to improve wellbeing while earning cash rewards.  

Eligibility for certain benefits may vary by position in accordance with the terms of the Company’s benefit plans.

Diversity and Inclusion:

At Protective, we are committed to providing an inclusive culture where all employees are able to fully contribute and thrive. Our goal is to grow and develop our people, attract diverse talent and support strong, diverse communities.

We support diversity, equity, and inclusion by working to develop a culture of inclusion and belonging led by leaders who develop potential and embrace all skills and abilities. Our aim is to create an equitable environment for all leaders and employees that will drive performance and impact business strategy. In this way, we can increase overall diversity for leadership roles and pipelines of talent by maturing our hiring practices, robust development opportunities and focus on retention of key talent.

We are proud to be an equal opportunity employer committed to being inclusive and attracting, retaining, and growing the talents of a diverse and inclusive workforce.

Accommodations for Applicants with a Disability:

If you require an accommodation to complete the application and recruitment process due to a disability, please email martina.winston@protective.com.This information will be held in confidence and used only to determine an appropriate accommodation for the application and recruitment process.

Please note that the above email is solely for individuals with disabilities requesting an accommodation.  General employment questions should not be sent through this process.

Salary : $45,000 - $50,000