Specialty Claims Coordinator

Job Summary

Assisting the Specialty Claims department, the full-time Specialty Claims Coordinator will manage workflow, maintain databases for cost containment activities, and process referrals while working remotely from Florida.

Key responsibilities:

• Assist the Specialty Claims Manager with administrative and support functions to ensure efficient department operations
• Oversee workflow for processing referrals and maintain accurate records of claims and expenses
• Prepare and distribute internal and external reports, and assist in updating policies and procedures for departmental workflows

Required qualifications:

• 5 years of relevant and progressive experience in the specialty claims area
• Knowledge of principles, practices, and procedures related to claims processing
• Intermediate proficiency in Microsoft Office applications, particularly Excel and Access
• Strong organizational and analytical skills with the ability to manage multiple tasks simultaneously
• Ability to understand and interpret employer health coverage plans and excess insurance policies