Role Description Under the supervision of the Operations Supervisor or Branch Manager, the Claims Technical Coordinator provides high-level administrative and operational support to the claims team. This role plays a critical part in ensuring efficient claim handling, supporting internal processes, and facilitating communication across stakeholders to drive timely resolution of claims and related matters. How you'll make an impact - Claims & Operational Support - Provide advanced clerical and administrative support to the claims office, including document preparation, payment processing, file management, and mail handling. - Create and maintain reports, tracking logs, dashboards, and spreadsheets to support claims operations. - Coordinate file reviews, audits, and internal quality assurance processes. - Assist with project execution as assigned by management and support continuous process improvement initiatives. - Maintain records, calendars, and administrative systems to support office and client operations. - Stakeholder Coordination & Communication - Coordinate with attorneys and clients on claim-related and legal matters to ensure timely communication and follow-up. - Serve as a liaison between internal teams, external vendors, legal partners, and clients. - Engage with internal and external parties to proactively move issues toward resolution. - Support examiners and leadership by escalating critical issues and ensuring alignment across stakeholders. - Reporting & Tracking - Provide weekly reporting on claim activity, open items, audit results, and key operational metrics. - Track outstanding issues and follow through to completion, ensuring visibility to both internal and external stakeholders. - Identify trends or gaps in processes and communicate insights to leadership. - Team & Office Support - Support lower-level clerical staff and assist with onboarding and training on systems and processes. - Assist with office facilities coordination and support implementation of new technology and business workflows. - Participate in cross-functional initiatives to improve team efficiency and service delivery. Qualifications - High school diploma or GED. - 3+ years of relevant administrative, insurance, or claims support experience. - Proficient in Microsoft Office Suite (Excel, Word, Outlook) and other business systems. - Strong organizational and multitasking skills with attention to detail. Requirements - Experience working in insurance claims, legal coordination, or a similar environment. - Exposure to claims systems, reporting tools, or workflow management platforms. - Ability to analyze data and present findings in a clear, actionable format. Workplace Behaviors & Competencies - Strong verbal and written communication skills across all levels of the organization. - Ability to maintain strict confidentiality of sensitive information. - Professional presence when interacting with clients, attorneys, vendors, and internal stakeholders. - Demonstrated ability to problem-solve and drive issues to resolution. - Strong sense of accountability and follow-through. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more...

• Receives claims assignments, verifies and determines applicability of coverage. • Ability to not only interpret complex coverage issues but possess the ability to write appropriate reservation of rights and declination of coverage letters. • Determines the method and extent of investigation for each claim as required by company Best Practices. • Reviews and manages outstanding files, as assigned, for adequacy and timeliness of investigation, evaluation and reserve and maintains a timely diary for each case. • Evaluates and adjusts claims within the adjuster’s authority level. • Assesses risk transfer potential and is responsible for the development of information required to successfully address tender issues. • Reports directly on technical matters to supervisor or management. • Evaluates and manages litigated claims, determines future course of handling and proper method of disposition. • Consults with the claim manager on those claims in which assistance and consultation is needed, as well as on those claims, which exceed assigned authority. • Assesses recovery potential and is responsible for the development of information required to successfully pursue recovery. • Meets with current and prospective customers to discuss C&F claims capabilities and address specific claim needs. • Accountable for the equitable and prompt adjustment and management of assigned claims to disposition in accordance with company Best Practices. • Responsible for providing superior customer service to all agents, insureds, and others encountered during the claims handling process.

Role Description Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial role in our dynamic team. This position offers an exciting opportunity to work in a fast-paced environment while ensuring accurate and timely processing of claims. Responsibilities: - Review and process insurance claims with accuracy and efficiency. - Ensure compliance with company policies and regulatory requirements. - Communicate with clients and insurance companies to resolve claims discrepancies. - Maintain detailed records of claims processing activities. - Analyze claims data to identify trends and areas for improvement. - Assist in training new team members on claims processing procedures. - Participate in team meetings to discuss workflow and process enhancements. - Stay updated on industry changes and best practices related to claims processing. Qualifications - High school diploma or equivalent; associate degree preferred. - Minimum of 2 years experience in claims processing or related field. - Strong attention to detail and excellent organizational skills. - Proficient in claims management software and Microsoft Office Suite. - Ability to work independently and collaboratively in a team environment. - Effective communication skills, both written and verbal. - Knowledge of medical terminology and insurance policies is a plus. - Strong problem-solving skills and ability to handle challenging situations. Requirements - High school diploma or equivalent; associate degree preferred. - Minimum of 2 years experience in claims processing or related field. - Strong attention to detail and excellent organizational skills. - Proficient in claims management software and Microsoft Office Suite. - Ability to work independently and collaboratively in a team environment. - Effective communication skills, both written and verbal. - Knowledge of medical terminology and insurance policies is a plus. - Strong problem-solving skills and ability to handle challenging situations. Benefits - 401(k) - 401(k) matching - Company parties - Dental insurance - Employee discounts - Health insurance - Opportunity for advancement - Paid time off - Parental leave - Savings bank - Training & development - Vision insurance - Wellness resources Company Description MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to excellence and innovation is why customers love us, and our supportive work environment is why employees thrive here.

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. The Claims Representative / Insight Analyst Assistant primary duties may include but are not limited to: - Initiating and managing tasks associated with case workflow. - Adhering to protected health information rules and regulations on behalf of our clients. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. This will be paid on-the-job training during normal business hours, Monday - Friday. Primary Responsibilities: - Process medical record submissions through various avenues. - Manage cases from the time of opening to the time medical records are received, including verification and management of standard turn-around times on cases, or the case is closed for NMR. - Act as a Subject Matter Expert (SME) and provide exceptional communications with Providers. - Maintain the ability to work in an environment with PHI. - Understand and adhere to HIPAA privacy requirements. - Other duties as assigned. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma / GED. - Must be 18 years of age OR older. - 1+ years of customer service experience. - Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management). - Ability to work any of our full-time, shift schedules during our normal business hours of 8:00 am - 5:00 pm from Monday - Friday. Requirements - 1+ years of experience in healthcare related OR healthcare claim industry. Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills - Strong verbal and written communication. - Requires a commitment to confidentiality, privacy, and professionalism. - Ability to work independently and as a team member. - Self-motivation, flexible, strong time management, organizational, and analytical skills. - Must be detail oriented and possess the ability to multi-task. - Experience with working in a fast-paced professional environment. Benefits - Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. - In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). - The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.