Claims Associate

Company: Larkin Benefit Administrators
Location: Phoenix
Posted on: March 1, 2025

Job Description:

Description:Job Title: Claims AssociateReports To: Operations ManagerFLSA 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:
  • Roseville, CA office location: Monday to Friday, 8am to 5pm (PST)
  • Atlanta, GA office location: Monday to Friday, 8am to 5pm (EST)
  • Phoenix, AZ office location: Monday to Friday, 8am to 5pm (MST)Requirements:
    • A four-year college degree or a professional certification in a similar or related field.
    • Proficient typing and strong knowledge of MS Excel and MS Word.
    • Always focused on providing excellent customer service.
    • Ability to prioritize tasks and focus on the most important ones.
    • Ability to communicate effectively with colleagues, leadership, clients, and employees.
    • Have a system for keeping track of work to ensure that the work is done on time and accurately.
    • Ability to identify and solve problems quickly and efficiently.
    • Willing to learn and take on new challenges.
    • Takes the initiative to understand the why behind things.
    • Receptive to feedback and embraces continuous improvement.
    • Planning ahead, managing time well, being on time, and thinking of better ways to do things.
    • Being helpful, respectful, approachable and team-oriented, building strong working relationships and contributing to a positive work environment.
    • Excellent follow through and common sense.
    • Excellent attention to detail.
    • Strong organizational, quantitative, and verbal/written communications skills.
    • Ability to comprehend a variety of informational documents including, but not limited to, disability plan documents and client leave policies.
    • Ability to comprehend and interpret a variety of reference books and manuals including administrative manual, personnel policies, and state and federal regulations.
    • Ability to keep abreast of any changes in law, policy, methods, procedures, etc. as they pertain to clients.
      
      
      
      Compensation details: 50000-60000 Yearly Salary
      
      
      
      PIf0c25611d658-37248-36617247

Keywords: Larkin Benefit Administrators, Phoenix , Claims Associate, Other , Phoenix, Arizona