Claims Intake Specialist

Job Summary

Reviewing and determining 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 parties or providers to request information needed for processing benefit inquiries
• Maintain clear documentation of all claim intake activities within required databases

Required qualifications

• High school diploma or equivalent; additional education in finance or insurance preferred
• Experience in customer service or claims processing is a plus
• Familiarity with insurance policies and claims procedures
• Proficiency in using databases and documentation systems
• Ability to meet established quality and production metrics