As H&B Claims Specialist, you will work to manage and monitor client’s claims submissions and claims pre-approvals. You will be in day to day communication liaison with Consultants, Clients, Client Members, Insurers, and Third Party Administrators

 

Role

Conduct regular clients visits to collect and review claims and discuss any issues related to claims. Gathers and reviews loss information and prepares claim status reports.  Responds to and advocates on claims, coverage and eligibility questions from clients  Collects, reviews and records rejections and settlements  Acts as a liaison between carriers and clients, addressing service issues and monitoring for trends.  Develops and fosters positive relationships with clients and carriers Acts as a referral point and mentor for the team Identify areas of for improvement in claims processes leading to efficiencies

Requirements 

Bachelor’s degree of any discipline preferably medicine / Pharmacy Computer literacyWorking knowledge of Excel, MS Project, MS WordClaims system experience preferredKnowledge of the Market Service Organizations (MSOs) such as adjusters, accountants and other experts likely to be appointed by carriers.Minimum 2 years experience of insurance claims handling or advocacy.Knowledge of specific claims area.

 

Application Process

Stage 1: Online application and recruiter review  Stage 2 Live video interviews with hiring managers Stage 3: Offer and onboarding 

WTW is an equal opportunity employer