Medical Claims Examiner - Indianapolis, IN

Claims Indianapolis, Indiana


  • Job Category:

    Claims

  • Location:

    Indianapolis, Indiana

  • Job Type:

    Full Time

  • Group:

    MIS Group/Medical Insurance

  • Number of Openings:

    2

Description

Position at Tokio Marine HCC

Medical Claims Examiner

Every day, thousands of people travel the globe worry-free knowing that in case of a medical emergency they are covered and can rely on a dedicated team to help them. They rely on the people working at Worldtrips, a Tokio Marine HCC company.

We are looking for a Medical Claims Examiner to join this team in our Indianapolis, IN office. This is a permanent, full-time position which after an initial training period in the office, turns into a fully remote role.

What we offer

The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer. Please visit www.tmhcc.com for more information.

What you work on (amongst others):

- Determine insurance coverage by examining claim information, policies, and other records and interview claimants and other providers.

- Maintain accurate system by collecting, analyzing, and summarizing information.

- Resolve questionable claims by investigation: comparing claims information with evidence.

- Settle claims by determining insurance carrier’s liability, reaching agreement with claimant according to policy provisions.

- Coordinate benefits with other insurance carriers when possible to minimize loss ratios for the client and the company.

- Contribute to phone support by prompt and accurate answering.

- Record/update claims volume and activity in a bordereau for reporting as required by the client, director, or Accounting department.

- Maintain insurance product and the Company reputation by complying with claims guidelines and unfair claims settlement limitations.

- Maintain professional and technical knowledge by attending educational workshops and establishing professional networks.

- Perform special projects as required.

- Contribute to the team effort by accomplishing related tasks as needed.

What we look for

- Minimum High School or equivalent
- Minimum of two years of relevant and progressive medical, claims or insurance experience in area of specialization

 And …

- Possess and have ability to apply basic knowledge of principles, practices, and procedures
- Good written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
- Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
- Intermediate proficiency and experience using Microsoft Office package (Excel, Outlook)
- Superlative customer service skills
- Basic calculator knowledge.

 Working conditions and physical demands

  • Overtime hours may be required to fulfill job responsibilities
  • May be required to remain stationary for extended periods of time
  • May be required to move up to 10 pounds
  • Must be able to operate a computer and other devices
  • Close vision and ability to adjust focus, such as required to read a computer screen

 Note: This document is intended to describe the general nature and level of work being performed, and is not to be construed as an exhaustive list of all responsibilities, duties, and skills required for the job.

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