Claims ConsultantStumm Insurance • Rosemont, IL, US
Claims Consultant
Stumm Insurance • Rosemont, IL, US
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job_description.job_card.job_descriptionProvide exceptional assistance to Stumm client members, addressing their questions and concerns promptly and empathetically. Assist clients in understanding the claims process, necessary documentation and expected timelines. Work closely with the insurance claims adjusters, healthcare provider offices and members to facilitate the resolution of claims in a timely manner. Maintain open and effective communication with members and service team, keeping them informed throughout the claims process, delivering a high-touch service experience. Identify, investigate, and resolve any discrepancies or issues within the claims process. Assist with the collection and submission of necessary evidence and paperwork. Document all interactions and maintain accurate claim files within internal systems. Identify and escalate potential issues or delays to appropriate team members or leadership. Follow up post-resolution to ensure client satisfaction and close out claims cleanly. Education : High school diploma or equivalent required; college degree is a plus. Minimum of 5 years of experience in health insurance, preferably within the insurance and claims handling sector or client service roles. Extensive knowledge of the insurance claims process and medical CPT coding Knowledge of BCBS Illinois claims processes Communication Skills : Excellent verbal and written communication skills. Customer-Focused : Passionate about providing world-class customer service and resolving client issues effectively. Organizational Skills : Strong ability to manage multiple tasks with varying priorities. Detail-Oriented : Keen eye for details and accuracy in handling customer information. Problem-Solving : Strong ability to assess and resolve issues promptly and efficiently. Technology : Proficient in using Microsoft Office Suite and able to quickly learn new software applications. High attention to detail and follow-through Empathy, patience and a proactive mindset Seniority level : Mid-Senior level Employment type : Full-time Job function : Finance and Sales Industries : Insurance and Employee Benefit Funds
Overview
The Claims Concierge will work with the Stumm service team to resolve complex claims for client members. This position will work directly with the member throughout the claims process to ensure continuity, accuracy and resolve. This role will work directly with the member throughout the claims process, ensuring a smooth, efficient, and empathetic experience for members.
Compensation
- Base pay range : $60,000.00 / yr - $80,000.00 / yr
- Additional compensation types : Annual Bonus
Location
Rosemont, IL or Warrenville, IL – hybrid (3 days a week in office)
About the company
Selected as one of Crain's Chicago Business 100 Best Places to Work for the past 4 years, Stumm Insurance is a family-owned business where we are dedicated to an employee-first approach. Founded in 2007, but with a family history going back to 1911, Stumm Insurance LLC now operates out of two offices (Rosemont and Warrenville) with over 70 employees and growing. Stumm specializes in group benefits brokering & consulting and has seen an average of 20% revenue growth in each of its 18 years. More information about the company and employees is available at www.stumm.com.
Responsibilities
The ideal candidate
Job details
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