Claims Assistance Specialist

Position Summary

The Claims Assistance Specialist supports the claims team by coordinating with provider offices, ensuring accurate claim submission, and assisting internal teams with timely follow up. This role is critical in delivering a high level of service to clients by helping facilitate smooth and efficient claims handling.

We are seeking a detail-oriented and proactive individual who thrives in a fast-paced environment, is comfortable managing multiple priorities, and can adapt quickly to changing needs. This position is ideal for someone who is dependable, responsive, and committed to delivering high-quality service, with strong organizational skills, clear communication, and the ability to consistently follow through on tasks.

Essential Duties and Responsibilities:
• Contact provider office to share insurance information and request claim submissions to medical and/or gap insurance.
• Build, track, and manage tickets within our system (HubSpot)
• Send weekly lab documentation to the Gap carrier
• Follow up on outstanding claims and ensure timely processing
• Collaborate with internal team members to resolve claim-related issues
• Provide general support to the claims team as needed

Qualifications:
• Healthcare background required, such as experience working in a medical office, provider setting, or prior exposure to insurance processes and terminology
• Strong attention to detail and organizational skills
• Ability to multitask and manage a high-volume workload
• Excellent communication skills, with confidence handling phone-based interactions
• Critical thinking and problem-solving abilities
• Experience with ticketing systems (HubSpot preferred, but not required)

Note:  This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.   

No Third Party Agencies or Submissions Will Be Accepted.   

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP   

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.