MEDICAL CLAIMS ANALYST JOB DESCRIPTION
ESIS, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients unique risk management needs. With more than 60 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industrys broadest selections of risk management solutions covering both pre and post-loss services.
Under limited supervision, performs customer service and/or claims processing functions.
MAJOR DUTIES & RESPONSIBILITIES:
Duties may include, but are not limited to:
Receive new claim, verify accuracy of information submitted.
Provide customer service to agents, insureds, clients and other customers.
Process medical only claims that are clearly work related and do not require investigation.
Process authorized payments.
Input data entry correspondence into computer system, and review files at appropriate intervals determined by Best Practices.
Complete required state forms.
Typing, photocopying, indexing and filing.
Maintain desk according to Best Practice Standards
SCOPE INFORMATION:
Reports to Medical Only Team Leader.
DESIRED QUALIFICATIONS:
5 years previous claims processing experience.
Strong customer service background.
Ability to operate and contribute positively in a team-based environment.
Good written and oral communication skills including effective telephone skills.
Ability to work independently under limited supervision.
Superior organizational skills and the ability to effectively manage multiple priorities.
Demonstrate initiative as evidenced by the ability to self-manage, organize and prioritize work.
Strong working knowledge of computer systems and various Microsoft applications such as Word, Excel and Outlook
Committed to high standards of behavior and performance.
Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates and we believe the best solutions draw upon diverse perspectives, experiences and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.
Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran, or marital status, or any other characteristic protected by law.
Equal Opportunity Employer–minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
MEDICAL CLAIMS ANALYST JOB DESCRIPTION
ESIS, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients unique risk management needs. With more than 60 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industrys broadest selections of risk management solutions covering both pre and post-loss services.
Under limited supervision, performs customer service and/or claims processing functions.
MAJOR DUTIES & RESPONSIBILITIES:
Duties may include, but are not limited to:
Receive new claim, verify accuracy of information submitted.
Provide customer service to agents, insureds, clients and other customers.
Process medical only claims that are clearly work related and do not require investigation.
Process authorized payments.
Input data entry correspondence into computer system, and review files at appropriate intervals determined by Best Practices.
Complete required state forms.
Typing, photocopying, indexing and filing.
Maintain desk according to Best Practice Standards
SCOPE INFORMATION:
Reports to Medical Only Team Leader.
DESIRED QUALIFICATIONS:
5 years previous claims processing experience.
Strong customer service background.
Ability to operate and contribute positively in a team-based environment.
Good written and oral communication skills including effective telephone skills.
Ability to work independently under limited supervision.
Superior organizational skills and the ability to effectively manage multiple priorities.
Demonstrate initiative as evidenced by the ability to self-manage, organize and prioritize work.
Strong working knowledge of computer systems and various Microsoft applications such as Word, Excel and Outlook
Committed to high standards of behavior and performance.
Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates and we believe the best solutions draw upon diverse perspectives, experiences and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.
Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran, or marital status, or any other characteristic protected by law.
