Adheres to compliance, departmental procedures, and Unfair Claims Practice regulations.Maintaining departmental and policyholder expectations.Document claim updates in the claim database ensuring accuracy.Coordinates with other departments to ensure appropriate claims transition or facilitates timely return to work.Accurately codes all system fields with correct financial, diagnosis and duration information.Interprets and administers contract provisions: eligibility and duration.Investigates claim issues providing resolution within departmental and regulatory guidelines.In this position, you are responsible for applying appropriate claims management by providing reliable and responsive service to claimants and clients. The Claims Examiner will act as a liaison between client, employee and healthcare provider.

We will walk you through the process, much like you will do for our customers!

The details of the day to day are in the description below, read through them, and then apply and talk to one of our friendly recruiters. You can imagine this time in someone's life can either be really terrifying or really exciting! Either way - it's usually not something they're experts at - and that's where you come in: to walk them through the process of handling their care, and returning to work.įor YOU as someone new to the claims world, we offer a full comprehensive 8-week training program that will prepare you for everything you will need to be successful in this role. In our world, we help other employers manage their Disability Claims when an employee gets sick, injured, has a baby, needs a surgery, or something similar that will require them to be out of work for a while. What is a TPA firm, you ask? ~ Third Party Administrators work on behalf of other organizations when they have a lot of employees or details to manage. **Hybrid Position- 2 days in the office, 3 days remote.**Īre you looking for a new career ? Do you love helping people ? Do you love working in a fast-paced, exciting environment, where you'll also get to learn an industry that is hugely important to our everyday lives? If you answered yes to these questions, you are in luck ! Matrix is one of the top TPA firms in the country and is growing!

Matrix absence management remote jobs