Claims Intake Specialist

Job Summary

Reviewing claim requirements for initial and continuation claims, the full-time Claims Intake Specialist will assist Care Managers and Care Coordinators while providing quality customer service to policyholders, their representatives, and providers.

Key responsibilities

• Review internal databases, client guidelines, and policy contract language to determine claim requirements
• Contact insured individuals or providers to request information needed for processing benefit inquiries
• Maintain clear documentation of all claim intake activities within required databases

Required qualifications

• Experience in claims processing or insurance administration
• Familiarity with policy contract language and client guidelines
• Ability to meet quality and production metrics
• Proficiency in using internal databases for documentation
• Strong customer service skills in a professional setting