Acrisure’ s Great Lakes Region began with a small group of agency partners joining together for the best interest of their clients and teams. Through collaboration and trust, they revealed the individual strengths and the extraordinary advantage at their doorsteps. As their success became a reality, people took notice, and the Region grew. Their entrepreneurial spirits drove the partnership that led the Acrisure Great Lakes Region to where it is today, with a culture built on organic partnership.
Acrisure is a fast-growing fintech leader that operates a global insurance broker. Acrisure provides a broad array of insurance and financial related solutions, including commercial property and casualty, personal lines and employee benefits insurance, real estate services, cyber services and asset and wealth management. Acrisure’ s massively valuable, high margin distribution network combines the strength of trusted advisors with growth and efficiency enabled by AI.
About The Role
Works on assignments that are semi-routine in nature but recognizes the need for occasional deviation from accepted practice. Assists clients of the agency in reporting and monitoring of claims, which includes taking initial loss notice, getting loss notice to the appropriate carrier company, communicating with client, tracking claims payments, and following the claim until closed by the carrier company. Conducts initial reviews of claims for any coverage questions, reviews any denial of coverage for accuracy and acts as a liaison between client and carrier company adjuster. Applies acquired job skills and company policies and procedures to complete assigned tasks. Requires basic working knowledge of principles and practices of area of specialty. Required to obtain the necessary insurance license(s).
Responsibilities:
Work with carriers and providers to ensure accurate claims processing and communicate with clients/employees.
Assists clients with claims submission, gather necessary information from clients and providers for individual claims, receive and document incoming claims and check for pertinent information that is needed.
Assist clients and/or prospective clients with questions pertaining to their benefits.
Assist service team with claims clients.
Assist with service/claim issues through claims phone queue.
Proactively educate members on their benefits, promoting underutilized services and ancillary services like telemedicine, pricing transparency and wellness.
Document all activities in agency management system.
Develop and maintain a positive relationship and rapport with each client.
Handle and refer all requests by our clients.
Perform back-up responsibilities in absence of other claims advocates.
Perform other tasks and projects as needed/assigned.
Attend and participate I Monthly Department Meetings.
Work closely with other departments to coordinate services and ensure seamless client experiences.
Stay informed about changes in regulations and ensure adherence to all legal requirements.
Participate in training sessions and workshops to stay current with industry standards.
Develop and maintain a positive relationship and rapport with benefit enrollment system support staff, requesting enhancements to the system as needed.
Attend regularly scheduled training and conferences when content is deemed advantageous.
Participate and contribute to department meetings.
Comply with agency standards, policies, and procedures.
*This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management*
Requirements:
Strong organizational and time management skills, along with a demonstrated attention to detail
Excellent communication and interpersonal skills.
Excellent technology and computer system skills.
Ability to establish credibility and develop strong relationships with internal stakeholders through ethics, integrity, professionalism, and mutual respect.
Effective change management, time management, and follow-up skills
Excellent critical thinking skills: ability to troubleshoot.
Proficient computer skills with agency management software systems, basic working knowledge required/Intermediate knowledge preferred of Microsoft: Word, Outlook, PowerPoint, Excel, and OneNote.
Customer service oriented.
Knowledge of Agency Management Systems; Applied Epic a plus.
Able to function independently and as part of a team.
Education/Experience:
High school diploma or recognized equivalent is required.
Associate degree or higher is preferred, or equitable experience.
Minimum 3 years of claims management preferred within the benefits/healthcare industry.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Moderate stress due to regular deadlines and daily challenges.
High finger dexterity while typing documents and forms.
Occasionally lift up to 20 lbs.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job, and reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Hybrid environment, where work may be done in a temperature-controlled, non-smoking office.
The noise level in the work environment is usually moderate.
Benefits & Perks:
Competitive Compensation
Industry-Leading Healthcare
Savings and Investments
Charitable Giving Programs
Offering hybrid work option
Opportunities for Growth
Educational Resources
Generous time away
Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant.
To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure’s property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure’s Human Resources Talent Department.