Claims Hybrid Agent
Description

A Claims Hybrid Agent is responsible for performing tasks related to processing claims to submit to the carriers for adjudication and/or handling Claim-related calls. This role will assist in either Claims role while in a multi-carrier and multi-product environment. The agent will be primarily responsible for reviewing and compiling all pertinent claim related documentation from various systems including doing claim benefit calculations prior to submission of claim to the insurance carrier. This position will work in a hybrid office environment out of our Franklin, TN office. 


Responsibilities:


Claims Processing:

  • Work in multi-carrier and multi-product environment to process claims with different policies and procedures
  • Various additional daily duties include the quality control of claims, claims correspondence, shipping original claim documents for older carriers while completed all listed processes within metric standards set by department
  • Enter claim information in multiple systems for proper maintenance of company records 
  • Communicate directly with insureds, claimants, financial institutions, and carriers 

Call Handling:

  • Assist insureds and claimants with questions, provide clear instructions on completing claim forms, and provide general timeframes for claim submissions
  • Make outgoing calls as needed to provide responses to insureds and claimants
  • Generate, approve, and assemble accurate claim packets for insureds and claimants
  • Update systems to document calls
  • Other duties as assigned
Requirements
  • Detailed oriented with ability to multi-task and meet production and quality standards
  • High level of accuracy
  • Good analytical and decision making skills
  • Must have ability to work in team environment, however, also have the ability to make independent decisions
  • Superior customer service and communication skills both verbally and written (proficient typist)
  • Knowledge of Word, Excel, and AS400 (a plus) and other computer applications
  • High School degree required with some College or a College Degree a plus 
  • 2+ years experience in insurance industry