1

Direct Claims Jobs in Indiana (NOW HIRING)

Claims Support representatives work under the direct supervision of the Operations Manager. RESPONSIBILITIES: * Setting up new claims with insurance carriers. * Obtaining file supports from client ...

Claims Support representatives work under the direct supervision of the Operations Manager. RESPONSIBILITIES: * Setting up new claims with insurance carriers. * Obtaining file supports from client ...

Claims Advocate The Claims Advocate (CA) at Gregory & Appel works closely with our clients ... loss, directing emergency restoration to mitigate damage; Confirms coverage and deductibles;

Description The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance ... Serves as resource to clients at time of loss, directing emergency restoration to mitigate damage;

next page

Showing results 1-20

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 cities in Indiana are hiring for Direct Claims jobs? Cities in Indiana with the most Direct Claims job openings:

Claims Support, Part-Time

RendER Revenue

Muncie, IN โ€ข On-site

Part-time

Retirement

Re-posted 4 days ago


Job description

Company Description
RendER Revenue provides claims recovery services to the healthcare industry. We leverage an efficient and effective data intelligence approach using proprietary algorithms to identify a greater number of accounts with recovery potential than traditional RCM processes. Our claims professionals investigate accounts, send demand packages to carriers, and see the claim through until payment is received.
RendER Revenue's Claims Support position may be a good fit for individuals who are:
  • detail-oriented
  • focused
  • not afraid to ask questions
  • seeking experience in revenue cycle management

Job Description
PURPOSE OF POSITION:
This role assists the Claims Support & Systems Specialist by completing a variety of task-oriented activities required for an efficient and thorough investigation of each account. Claims Support representatives work under the direct supervision of the Operations Manager.
RESPONSIBILITIES:
  • Setting up new claims with insurance carriers.
  • Obtaining file supports from client systems.
  • Reviewing payments from insurance carriers to clients.
  • Identifying and securing adverse insurance carrier/adjuster contact information.
  • Scanning, printing, and mailing outbound correspondence.
  • Performing all other duties as assigned.

Qualifications
SKILLS AND EXPERIENCE:
  • Pursuing a bachelor's degree or equivalent work experience preferred, but not required.
  • Interest in the healthcare or insurance industry preferred.
  • Ability to work as part of a team
  • Professional manner
  • Ability to clearly communicate, with proper grammar, both verbally and in writing.
  • Working knowledge of MS Office applications and PDF documents.

ADDITIONAL JOB DEMANDS:
  • Maintains confidential information.
  • Must have regular and predictable attendance.
  • Must be willing to work the necessary hours to complete projects.
  • Must have ability to perform repetitive motions in sedentary work environment.

Additional Information
This position could serve as an internship for the right student.
RendER Revenue employees love the flexible, fun work environment in addition to the following benefits associated with our Claims Support position:
  • Paid company holidays
  • Full & immediate vesting in our 401(k) retirement program with company match
  • Flexible daytime schedule