Claims Coordinator

Affordable Care • Texas, Texas • 3d ago

Job Purpose:

The Claims Coordinator is responsible for overseeing activities related to the handling and processing of insurance claims for the organization and its affiliates. This role serves as a key liaison between the organization, insurance providers, and policyholders, keeping all parties informed of claim status and eligibility. In addition to claims management, this position provides essential administrative support to the Legal Department, ensuring timely and accurate processing of documents, invoices, and communications.

This is a Remote role.

General Duties & Responsibilities:

Intake, review and process new claims, maintaining accurate digital files and relevant records.

Serve as primary liaison between doctors, practices, insurance adjusters, and retained attorneys.

Gather necessary documents, including medical records, incident reports, photographs, etc.

File malpractice, board, and employment claims with the appropriate carrier or broker.

Coordinate and file general liability, auto, property, and casualty claims with the appropriate carrier.

Serve as the primary point of contact for questions regarding insurance coverage.

Track claims status to ensure compliance with deadlines.

Assist outside counsel with discovery responses by collecting documents, identifying necessary stakeholders, and facilitating necessary communication and disclosures.

Update and manage the malpractice dentist roster, malpractice entity roster, and IV sedation roster to ensure timely coverage for all insureds.

Communicate updates and outcomes of claims to relevant parties in a clear and timely manner.

Prepare reports and summaries on claims data and trends for Operational review.

Process Legal Department invoices for payment and allocate to appropriate department.

Distribute documents via DocuSign or UPS as necessary.

Monitor and manage the Legal Department voicemail and distribute messages to appropriate staff in a timely manner.

Check department mail daily and distribute promptly to the appropriate recipients.

Promptly scan, file, and distribute returned documents.

Submit check requests for various matters.

Complete administrative tasks as requested on behalf of the Legal Department.

Performs other duties as assigned.

Education Requirements:

Associate's or bachelor's degree in paralegal studies, Business Administration, Healthcare administration, Insurance or a related field preferred. Education may be substituted by experience.

Paralegal certificate from an ABA-approved program a plus.

Experience Requirements:

3-5years of experience in an insurance claims, legal, or administrative support role.

Experience in a dental, healthcare, or multi-site organization is a plus.

Familiarity with insurance claims processes, legal terminology, or litigation support preferred.

General Knowledge, Skills & Abilities:

Strong organizational skills with the ability to manage multiple tasks and deadlines simultaneously.

High level of attention to detail and accuracy in documentation and data entry.

Proficient in Microsoft Office Suite (Word, Excel, Outlook); experience with DocuSign or similar platforms a plus.

Excellent written and verbal communication skills.

Ability to handle sensitive and confidential information with discretion and professionalism.

Self-motivated and able to work independently as well as collaboratively in a team environment.

Strong customer service orientation with the ability to respond promptly and professionally to inquiries.

Demonstrated ability to learn new systems and processes quickly.

Job Details

Pay Type Hourly

Job Category Practice Staff

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