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Insurance Appeals Jobs in Indiana (NOW HIRING)

Gregory & Appel

Claims Advocate

Indianapolis, IN · On-site

Claims Advocate The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company representatives, producers, and commercial operations department to assist with claims at ...

Bierman Autism Centers

AR Insurance Specialist

Indianapolis, IN · On-site +1

$19.25 - $25.50/hr

Submit appeals and corrected claims within payer deadlines, ensuring compliance with payer-specific ... 401k, insurance (health, dental, and vision), and the option of Short and Long-Term disability ...

Gregory & Appel Inc

Claims Advocate

Indianapolis, IN

Description The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company representatives, producers, and commercial operations department to assist with claims at the ...

Gregory & Appel Inc

Claims Advocate

Indianapolis, IN · On-site

The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company representatives, producers, and commercial operations department to assist with claims at the time of ...

Trans-Care Ambulance

Billing Representative

Terre Haute, IN · On-site

$17 - $22/hr

This position is responsible for reviewing and processing paper insurance correspondence, including claim denials, requests for medical records and payer appeals. The Claims Follow-Up Specialist ...

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Insurance Appeals information

What are the key skills and qualifications needed to thrive in insurance appeals?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an insurance appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.
What are popular job titles related to Insurance Appeals jobs in Indiana? For Insurance Appeals jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Insurance Appeals jobs in Indiana look for? The top searched job categories for Insurance Appeals jobs in Indiana are:
Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Indiana as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 87% In-person, 4% Hybrid, and 9% Remote job distribution.

Claims Advocate

Gregory and Appel Insurance

Indianapolis, IN • On-site

Full-time

Re-posted 16 days ago

Job description

Job Type
Full-time
Description
The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company representatives, producers, and commercial operations department to assist with claims at the time of loss. The CA works in our office communicating with clients and insurance company adjusters to achieve a fair claim settlement for our clientele. The CA takes the initial loss report from our client, sets expectations about the claims process, files the claim with the insurance company, notes the claim file as needed during the life of the claim, and follows it to closure.
Requirements
• Provides claim kit reporting instructions to new clients and current clients when they are placed with a different insurance company at renewal.
• Provides claim advocacy for assigned clients including setting expectations for clients at time of loss, claim consulting, reporting, and tracking the claim to closure.
• Serves as resource to clients at time of loss, directing emergency restoration to mitigate damage; Confirms coverage and deductibles; Coordinates service with insurance company adjusters, while being a voice for the client with the adjuster when disagreements arise during the claim.
• Proactively identifies opportunities to reduce the cost of risk for our commercial clientele.
• Prepares claim trending and analysis reports to identify causes of loss for clients upon request from the Client Service Consultant, Producer or the Manager of Client Services.
• Responds or refers risk control consulting services desired by commercial clientele to insurance company Loss Control Representatives, the Manager of Client Services, and/or the Client Services Risk Consultant.
• Available to respond to claim emergencies outside of normal business hours: holidays, weekends, and evenings.
Skills
• Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Service Orientation: Actively looking for ways to help people.
• Complex Problem-Solving Skills: Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
• Data Skills: Using a computer application to manage large amounts of information, including creating and editing simple databases, inputting data, retrieving specific records, and creating reports to communicate the information.
• Spreadsheets: Using a computer application to enter, manipulate, and format text and numerical data; insert, delete, and manipulate cells, rows, and columns; and create and save worksheets, charts, and graphs.
Qualifications
• 1-2 years of experience in claims service experience, property & casualty commercial claims
• Bachelor's Degree; or combined equivalent years of education and experience
• P&C License Required
• Professional designations such as AIC, PLCS, CRM, or ARM desired
• Ability to carry out complex tasks with concrete and/or abstract variables
• Ability to communicate and explain to others complex issues, receives and interprets claim information, and responds appropriately.

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