Are you looking for a career with an established company who values its employees? Administrative Concepts, Inc. (ACI) is a growing company that offers its employees meaningful work and a positive environment. If you are looking for a rewarding career, not just another job, then come join our team as a Disability Claims Examiner! We provide employees with an opportunity to develop their career because as you grow, we look to promote from within.

ACI is a nationally licensed, full-service, Third-Party Administrator providing enrollment, fulfillment, and claims processing services for various insurance lines in the medical claims industry. Since our inception in 1997, ACI is founded on the basic ideal of focusing solely on providing the best possible service to our clients. As ACI looks toward the future in an industry open with opportunity, our mission inspires us to grow our services and develop solutions which will assist our clients in meeting expectations and achieving customer satisfaction in the ever-changing insurance marketplace.

This position is remote. Our office is located in Collegeville, Pa.

Responsibilities:

Insurance Third Party Administrator seeks meticulous and organized Short Term Disability Claims Examiner for a growing Claims Department. Disability Examiners will be responsible for processing short term disability claims and maintaining a working knowledge of policy and state mandated insurance requirements.

Process short-term disability claims and maintain a working knowledge of policy, procedure, and state mandated insurance requirements.

Adhere to workflow processes and documentation requirements.

Examiners respond to verbal claim appeals and process adjustments on short-term disability claims where a phone call is received, and an adjustment is warranted on the claim.

Identify and escalate customer issues when appropriate to the Disability Claims Manager.

Answer phone calls regarding disability questions and respond to emails as needed.

Successful candidates will possess strong verbal and written communication skills, a strong attention to detail, an understanding and experience in short-term disability claims adjudication processing, history of timely and accurate disability claims processing production, knowledge of disability terminology and coding, basic computer skills, a working knowledge of MS Office, and character strengths that align with the position.

Requirements:

• 2-5 years of experience processing short-term disability claims
• Knowledge of disability terminology and codes
• Understanding of the full adjudication process
• Ability to prioritize and organize
• Strong verbal and written communication skills
• Strong data entry skills
• Experience with MS Office
• Background Check is required for employment.
• ClaimVantage Software experience Preferred.
• Statutory Benefit Experience a PLUS.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Short Term Disability Claims Processing: 2 years (Required)

Work Location: Remote

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