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Direct Claims Jobs in Indiana (NOW HIRING)

MED-BILL CORPORATION

Be Seen First

Claims Manager

Indianapolis, IN · On-site

$49K - $60K/yr

Claims Manager Join Our Team as a Healthcare Claims Expert Summary: Manages and coordinates the ... Work on special projects as directed * Other Manager Duties as Assigned * Daily Meetings with Staff ...

Brotherhood Mutual

Claims Attorney

Fort Wayne, IN · On-site

Responsible to advise claims and other company personnel on legal issues relating to claims; communicate legal information to internal and external contacts as directed. Complete assigned legal ...

Brotherhood Mutual

Claims Attorney

Fort Wayne, IN · On-site

Responsible to advise claims and other company personnel on legal issues relating to claims; communicate legal information to internal and external contacts as directed. Complete assigned legal ...

Allied Solutions LLC

Bond Claims Agent

South Bend, IN · On-site

Direct policyholders what policy and insuring agreement may be triggered, the policy reporting requirements, policy conditions and exclusions and deductibles. * Manage the Bond Claims inbox, triage ...

Allied Solutions LLC

Bond Claims Agent

South Bend, IN · On-site

Direct policyholders what policy and insuring agreement may be triggered, the policy reporting requirements, policy conditions and exclusions and deductibles. * Manage the Bond Claims inbox, triage ...

DMC Insurance, Inc.

Claims Specialist

Indianapolis, IN · On-site

Direct independent adjusters, appraisers and defense attorneys as necessary * Negotiate settlements ... Minimum of 3 years claims handling experience * College degree is preferred * Excellent written and ...

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Direct Claims information

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are the key skills and qualifications needed to thrive as a Direct Claims Specialist, and why are they important?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Indiana? For Direct Claims jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Indiana look for? The top searched job categories for Direct Claims jobs in Indiana are:
What cities in Indiana are hiring for Direct Claims jobs? Cities in Indiana with the most Direct Claims job openings:
Direct Claims jobs near you
Claims Manager

Claims Manager

MED-BILL CORPORATION

Indianapolis, IN • On-site

$49K - $60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Be Seen First

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Job description

Claims Manager

Join Our Team as a Healthcare Claims Expert

Summary: Manages and coordinates the activities and operations of the Ambulance Claims department and staff

Management Responsibilities

  • Oversee claim submission activities to ensure maximum first-pass acceptance through clearinghouse

  • Coding of ICD-10, HCPC's, and CPT's

  • Billing Institutional and Professional Claims Electronically

  • Review claims for accuracy, completeness, and adherence to medical necessity guidelines and documentation standards prior to submission.

  • Troubleshoot electronic claim transmission issues, front-end edits, and payer acceptance errors

  • Work with and educate our Cognitive Coding Engine

  • Claims reconciliation daily

  • Work with clearinghouses, software vendors, and insurance companies to resolve electronic claim processing issues

  • Map claims to file through clearinghouse

  • Assign and manage employees' daily duties

  • Employee Training

  • Approving Paid Time Off through Paylocity

  • Tracking employee points

  • Approving payroll for your employees

  • Prepares Employee Reviews and Appraisals

  • Communication with clients on issues with run reports, ie, signatures, documentation, etc

  • Work on special projects as directed

  • Other Manager Duties as Assigned

  • Daily Meetings with Staff and Vendors

The ideal candidate will be self-motivated, driven to automate tasks, and career-oriented. 

Company Description

Med-Bill Corporation is a Full-Service Ambulance Billing and Compliance Service. Established in 1996, located on the North Side of Indianapolis near Fishers.
Our Certified Staff of Coding, Compliance, Documentation, and Privacy Experts will keep Ambulance Organizations compliant on the State and Federal levels.
We are not like any other billing service; we care about our clients and our patients and do whatever we can to make a difference in our providers' revenue cycle, while also working with the patients on their accounts.
We are not out saving lives like our Providers; however, we can assist in so many other ways by helping on the Billing End!