意外与健康理赔审计员
Accident and Health Claims Auditor
以能力为本的公司文化，我们奖励那些主动进取并致力于为客户利益着想的人。
One80 Intermediaries 正在寻找一名意外与健康理赔审计员加入我们不断壮大的团队！
在此职位中，您将负责审查和分析理赔，确保其准确处理并符合政策条款。您将处理中等至复杂的理赔问题，确保获取所有必要的文件，并根据既定指南批准或拒绝理赔。
您将做出的贡献包括：
· 分析和研究中等至复杂难度的理赔问题。
· 能够理解复杂的流程、保单证明和政策条款。
· 在理赔处理过程中审查并应用政策条款。
· 请求并获取理赔处理/考虑所需的文件，包括安排后续跟进。
· 根据 CBP 政策、行业标准及其他适用的 TPA 或 SLA 协议，准确发放福利支付。
· 在理赔系统中正确记录所需信息，包括后续信息。
· 接收分配队列内的来电，或作为 CSR 团队的溢出支持。
成功所需的技能与经验：
· 高中文凭或同等学历。
· 能在既定指南内独立工作。
· 优秀的沟通、口头和书面表达能力。
· 熟练使用 Microsoft Office 程序。
关于 One80：
One80 Intermediaries 是 Arrowhead Intermediaries 的一部分，Arrowhead Intermediaries 是一个全球保险分销平台，在批发经纪、计划管理和专业保险领域提供深度专业化、规模和创新。我们拥有超过 7,000 名专业人员，2024 年累计承保额超过 180 亿美元，我们的联合组织为保险公司提供多样化的交易平台，同时为经纪人和客户在复杂和难以承保的风险中提供扩展的渠道和专业解决方案。该平台结合了创业文化与运营卓越，为整个保险生态系统提供定制化解决方案和长期价值。
薪资范围
20.00 - 22.06 美元/小时
上述薪资范围是出于诚信考虑，基于该职位的最低和最高年工资或时薪，并考虑了所需的年限经验。
查看英文原文
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
One80 Intermediaries is seeking an Accident and Health Claims Auditor to join our growing team!
In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines.
How You Will Contribute:
· Analyze and research claim issues of moderate to complex difficulty.
· Ability to comprehend complicated workflows, policy certificates, and policy provisions.
· Review and apply policy provisions in processing of claims received.
· Request and obtain necessary documents for claim processing/consideration, including scheduling follow-ups for documentation.
· Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements.
· Proper documentation of required information in claim system, including follow up information.
· Receive inbound calls within assigned queues and/or as an overflow for the CSR team.
Skills & Experience to be Successful:
· High School Diploma or equivalent.
· Ability to function independently within established guidelines.
· Excellent interpersonal, oral and written communication skills.
· Intermediate skill level in Microsoft Office programs.
About One80:
One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform that offers deep specialization, scale, and innovation across wholesale brokerage, program administration, and specialty insurance. With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The platform combines entrepreneurial culture with operational excellence to deliver tailored solutions and long-term value across the insurance ecosystem.
Pay Range
$20.00 - $22.06 HourlyThe pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
Recruiting Vendor Disclosure Statement
Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
Originally posted on Himalayas