Acrisure is a nationwide brokerage firm that offers insurance-related products and services across the United States. In the past, the FinTech company has offer
Claims Analyst
Location
California
Posted
2 days ago
Salary
$25 - $32 / hour
Seniority
Mid Level
Job Description
Claims Analyst
Acrisure
• Process claims in designated workflow queues • Knowledge of repricing claims with Reference Based Pricing (RBP) and Qualifying Payment Amount (QPA) • Review of processed claims and reprocessing when necessary • Claims reporting – daily and weekly reporting • Stop pay, void and reissue of payments • Back-up group claims report requests • Axos claims check maintenance • Electronic provider payment reconciliation • Other responsibilities as needed
Job Requirements
- Excellent verbal and written communication skills
- Proficient in HealthPac software
- Excellent interpersonal and customer service skills
- Proficient in Microsoft Office Suite or related software
- Excellent organizational skills and attention to detail
- Basic understanding of clerical procedures and systems such as record-keeping and filing
- Ability to work independently
- High School diploma; Bachelor's degree preferred
- 2+ years of HealthPac experience
- 2+ years of medical claims adjudication experience
Benefits
- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
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Why OpenlyOpenly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc. The Openly DifferenceWe created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices. - The Price Difference: Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets. - The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons. - The Experience Difference: From tailored claims handling to highly responsive customer service, we are focused on making the home insurance purchasing process a better overall experience. Welcome to your next adventure.At Openly, our people are just as important as our product. For us, collaboration, communication, and work-life balance are more than nice-to-haves— they’re the must-haves that make us who we are. We believe a great company is the result of a shared set of values, so we look for these qualities in every candidate we hire. - Integrity - Empathy - Teamwork - Curiosity - Urgency We've designed our hiring process with you, the candidate, in mind. At every step, you have the chance to present your strengths and learn more about what makes Openly a great place to work. We're committed to Diversity, Equity, & InclusionWe embrace individuality and believe diverse teams are winning teams. Our commitment to inclusion across race, gender, age, religion, identity, and experience drives us forward every day. Job Details The Property Claims Adjuster (preference for MST & PST timezones) is a core individual contributor role within Openly’s Property Claims organization, responsible for managing homeowner property claims from first notice of loss through resolution. This position demands a combination of technical claims expertise, strong customer focus, and meticulous attention to detail; someone who can investigate losses thoroughly, produce accurate estimates, and deliver a superior policyholder experience at every touchpoint. The ideal candidate handles every file with integrity, approaches policyholders and claimants with genuine empathy, remains curious about coverage and causation, partners effectively with vendors and teammates, and brings urgency to resolving every claim. 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Openly operates in a remote-first environment. Regular availability during core business hours is expected. Occasional extended hours may be required during CAT events or periods of elevated claim volume. #LI-HK1 Compensation & Benefits: Below is the budgeted salary range for this position. Actual compensation for this position will be determined based on the successful candidate's experience and skills. We are committed to providing a compensation package that not only reflects the responsibilities and requirements of the role, but also the unique expertise that the chosen candidate will bring to our team. Budgeted Salary Range $70,000—$90,000 USD The full salary range shows the min to max salary range for this position. Actual compensation will be commensurate with experience and qualifications and determined based on various factors including the candidate's qualifications, skills, and experience. Full Salary Range $60,750—$112,250 USD Benefits & Perks - Remote-First Culture - We supported #remotelife long before it was a given. We'll keep promoting it. - Competitive Salary & Equity - Comprehensive Medical, Dental, and Vision Plan Offerings - Life and disability coverage including voluntary options - Parental Leave - up to 8 weeks (320 hours) of paid parental leave based on meeting eligibility requirements (Birthing parents may be eligible for additional leave through STD) - 401K Company Contribution - Openly contributes 3% of the employee's gross income, even if the employee does not contribute. - Work-from-home stipend - We provide a $1,500 allowance to spend on setting up your home workplace - Annual Professional Development Fund: Each employee has $2,000 in professional development (PD) funds to spend on activities or resources annually. We want each Openly employee to achieve personal and professional success and to feel supported, confident, and informed about improving their efficiency and productivity. - Be Well Program - Employees receive $50 per month to use towards your overall well-being - Paid Volunteer Service Hours - Referral Program and Reward Depending on position, Employees generally are eligible for cash incentive compensation, including commissions for sales eligible roles. In all cases, eligibility for compensation and benefits is subject to applicable plan and policy terms in effect from time to time. U.S. Citizens, Green Card Holders, and those authorized to work in the U.S. for any employer and currently residing in the US will be considered. 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