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About the Role

As a Lead Healthcare Claims Assistant, you will manage claim intake flow and support claims operations. This role is ideal for a self-starter who wants to develop processes and identify efficiencies in healthcare claims operations within a fast-paced environment.

Responsibilities

• Manage claims intake email inbox and triage initial notices.
• Set up claim files by performing data entry, electronic data filing, sending acknowledgment emails, and filing to the electronic file.
• Book bordereaux data received at regular intervals.
• Respond to and manage loss run requests.
• Perform close activities and prepare reports as needed.
• Electronically file additional correspondence and monitor claim activity for escalation.
• Input data into spreadsheets, databases, and other departmental systems.
• Draft, prepare, and process various types of correspondence, including acknowledgment of new claims.
• Respond to general inquiries and relay basic information to internal and external business partners.
• Assist other claims personnel during the claims process and ensure adherence to company claims policies and procedures.
• Assist in special projects such as file reviews, statistical studies, or workflow analysis.
• Perform general clerical duties such as copying, filing, answering phones, and operating office equipment.

Requirements

• High School or GED required; College preferred.
• Adjuster license preferred.
• Prior healthcare or casualty experience strongly preferred.
• 7 years of relevant and progressive claims, administrative, clerical, or support experience.
• Ability to apply knowledge of principles, practices, and procedures with minimal supervision.
• Strong written and verbal communication skills with an emphasis on confidentiality and professionalism.
• Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously.
• Intermediate to advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).

Skills

• Microsoft Office Suite (Excel, Access, PowerPoint, Word)

Location

• New York
• Chicago

Work Type

• Hybrid
• Full-time

Experience Level

• 7 years of relevant and progressive claims, administrative, clerical, or support experience

Education Level

• High School or GED
• College preferred
• Adjuster license preferred

Salary/Compensations

• $29.90-$51.35/hr

Benefits

• Competitive salary and comprehensive benefits package
• Strong learning culture with ongoing development opportunities
• Opportunities for growth and career advancement
• Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment
• Basic life and disability insurance
• 401(k) plan with 6% company match
• 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off
• Paid parental leave
• Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription
• Student loan matching program
• Employee discount program

About the Company

• Tokio Marine HCC is a global industry-leading specialty insurance group, backed by the strength and stability of the Tokio Marine Group.
• Offering over 100 classes of specialty insurance, we empower clients to pursue opportunities confidently through our “Mind Over Risk” philosophy.
• We are an organization built on innovation, unity, and trust.
• We are Always Advancing, driven by innovation and an entrepreneurial spirit.
• Our people are Experts in Tomorrow, using curiosity and smart working to anticipate what’s next.
• With a culture rooted in Reaching Out, we foster genuine collaboration and support.
• Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom, Europe, and other exciting locations.
• With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don’t even know exist.
• Every policy we write is special, enabling our clients to do amazing things.
• From insuring the crops that feed us to the rock concerts that entertain us, to rescuing international travelers in trouble, we offer more than 100 classes of specialty insurance.
• Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on opportunity with confidence.
• That philosophy defines our way of thinking, unites us as a team and differentiates us from our competitors.
• We are much more than just an insurance company; we are a Good Company.

Equal Opportunity

• TMHCC is an equal opportunity employer.
• All qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity, genetic information, marital status, medical condition, national origin, physical or mental disability, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances.
• The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color, race, sex, national origin, sexual orientation, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws.