Job Description
This position is responsible for the timely and accurate processing of claims and customer inquiries, including complex, high‑priority, and urgent requests, while meeting established performance standards. Responsibilities include initiating and responding to real‑time messaging inquiries in a prompt and professional manner, and ensuring payments and settlements are processed in accordance with contractual requirements and internal policies.
The role involves responding to benefits and claims‑related inquiries from providers, members, groups, consultants, and internal or external partners in a timely manner. Additional duties include analyzing data related to audits, claims impact assessments, inventory oversight, and operational reporting; creating, monitoring, and researching query and report data; and ensuring the accuracy of benefit changes and reconciliation of benefit accumulators.
This position also supports system testing and validation to confirm the accuracy of new or updated implementations, participates in cross‑functional and vendor interactions, and assists with the development, mentoring, and training of claims staff. The role may perform any additional tasks and responsibilities associated with the Claims Coordinator function as assigned by management.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
High School Diploma or equivalent
Insurance Analyst experience
Claims testing experience
Nice to Have Skills & Experience
Bachelors Degree
Query Experience
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.