Assistant Insurance Manager - Claims

Description

This is an exciting opportunity for a proactive professional with a background in health insurance to contribute to the success of our client’s organization.

What you’ll do

• Assist in managing client renewals, negotiating terms and conditions with carriers on behalf of clients.
• Manage medical claims processing to ensure claims are handled in accordance with policy conditions.
• Interpret and explain Explanation of Benefits (EOB) to clients, ensuring clarity and understanding.
• Handle escalated claims management, providing timely resolution of complex cases.
• Assist with pre-authorization and follow-up on complicated customer claims to ensure quick resolution.
• Provide exceptional customer service and communicate effectively with all levels of management and diverse clientele.
• Collaborate with team members to resolve claims-related issues and ensure the overall success of the claims process.
• Maintain attention to detail in all claims management activities, ensuring high levels of accuracy and efficiency.
• Provide administrative support to the claims team and ensure smooth operations in a fast-paced environment.

What you’ll bring

• Health Insurance Associate (HIA) designation, AHIP, ACII, or equivalent preferred (or in the process of obtaining).
• Minimum of 5 years’ experience in Health Insurance, including individual and large group health and employee benefits.
• Proficiency in Microsoft Word & Excel.
• Strong knowledge of medical claims processing and health insurance laws.
• Familiarity with standard health insurance benefits.
• Excellent customer service skills, with the ability to communicate effectively with clients, management, and other stakeholders.
• Strong organizational skills and the ability to work in a fast-paced, team-oriented environment.
• High attention to detail and ability to work with minimal instruction.
• Ability to resolve complex claims issues efficiently and proactively.

Why this role?

• Competitive salary and benefits package.
• Opportunity to work in a dynamic and supportive team environment.
• Exposure to a wide range of health insurance claims management processes.
• Develop your skills and advance your career in the health insurance industry.

If you have a strong background in health insurance claims management and are looking for an exciting opportunity to grow in a supportive environment, we would love to hear from you!

Apply today by sending your CV through to Niamh | [email protected]