- Manage personal queue of assigned medical claims
- Verify coverage and maintain accurate records.
- Interact with providers to obtain additional required documentation.
- Approve claims for payment using departmental guidelines.
- Communicate proactively with members, acknowledging their claims and explaining the claim adjudication process.
- Set up and scan new claims to be processed.
- Deliver exceptional support to members, providers, and other departments via phone, email, and chat channels.
- Demonstrate attention to detail, empathy, and active listening skills.
- Serve as a MASA product knowledge expert, including member benefit coverage.
- Understand insurance regulatory requirements.
- 2+ years of previous work experience with a biller (hospital, physician practice) and/or insurance company is required. Property and Casualty claims are very different from medical claims, so P&C claims experience doesn't count.
- Must be fluent with Explanation of Benefits (EOB) forms from primary insurance companies and Health Insurance Claim Forms (also known as HCFA or 1500 forms).
- Current Florida 6-20 All Lines Adjuster License.
- A high school diploma.
- Previous customer service experience with strong verbal and written communication skills.
- An ability to organize, prioritize, and execute your work in a manner that meets established claim/recovery service standards and benchmarks.
- A professional and friendly company culture that supports a clear mission: "Protecting families with compassion when others don't."
- An opportunity to unleash your expertise and create a lasting impact on our journey of growth and success
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Claims Adjuster - Fort Lauderdale, United States - Medical Air Services Association Inc
Description
This is a full-time, onsite position based in Plantation, Florida
MASA is seeking a new member to join our dynamic Medical Claims team. As our new licensed Claims Adjuster (Claims Associate II), you'll provide collaborative support to our customers, providers, and partners and approve and process claims with attention to detail, compassion, and quality.
Compensation: $28.00 per hour, plus benefits featuring health, dental, and vision insurance; 401(k) with company match; PTO; and a free MASA membership
Location: 1250 South Pine Island Road, Plantation, FL 33324
Work Hours: Monday through Friday, 9:00 AM to 5:00 PM
About Us
MASA has been a leader in emergency medical transportation insurance since 1974. We're not just a company - we're a close-knit team dedicated to "Protecting families with compassion when others don't." Our professional yet friendly company culture fosters collaboration, innovation, and a clear mission that resonates through every role as we support our expanding base of 2+ million members across the United States and the Caribbean. Learn more at
What You Will Do
Reporting to our Claims Manager, we will count on you to support our insurance products and take ownership of your assigned medical claims from start to finish. Your main responsibilities will include:
Medical Claims Handling:
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