Claims Administrator
Houston, TX, 77056
Claims Administrator
Full Time • Houston, TX, 77056
Legal Access Plans, LLC
Job Description: Claims Administrator
Classification: Not Exempt
Reports to: Claims Director
JOB DESCRIPTION
The claims administrator is responsible for assisting with the processing of claims accurately and in a timely manner, as well as any related duties or tasks with a main focus on assisting with the processing of claims.
This role will be part of the Claims Department, reporting to the Director of Claims. This department is primarily responsible for the overall claims process including claims intake/setup, sending closed claims statements and handling claims.
Essential Functions
- Preparation of in-network and out of network claims submitted by attorneys and members.
- Generating/sending closed case statements (ccs) forms per request from attorneys.
- Following up with attorney network providers or members for additional required information or clarification as needed.
- Communicate effectively, professionally and enthusiastically with internal/external clients, colleague and leadership.
- Consistently perform duties assigned with a sense of urgency and accuracy
- Accept personal responsibility for your tasks and actions. Following through with contacts and other tasks assigned.
- Respond to all phone messages and emails within 24 hours/same day.
- Complete job requirements in a manner consistent with the core values of LegalEASE.
- Maintain in-depth working knowledge of Legal Access Plans systems and processes.
- Performs other related duties as assigned.
Required Qualifications
- Bachelor’s Degree preferred (or higher)
- Must demonstrate sound judgement and decision-making in performing day to day activities
- Must have strong analytical and problem solving skills
- Must plan work appropriately and balance multiple priorities
- Excellent communication skills, both written and verbal
- Must maintain the highest level of professionalism
- Strong working knowledge of Microsoft Office Suite
- Strong organization skills
- Strong attention to detail
Preferred Experience
- 2-5 years of direct or comparable experience in customer service, insurance, or account management
- Previous experience in a cross-company collaboration and partnership. Work closely with internal business partners and key members of the organization.
- Problem Solving: Need to evaluate and solve complex problems. Skillful handling and resolution of sensitive issues. Quick decision-making ability to recognize and decide the most effective course of action in a complex and changing environment.
- Technology: Able to proficiently utilize Microsoft Office, Smartsheet and the company’s systems and databases
- Strong verbal and written/documentation skills with the ability to communicate with and adapt to diverse individuals (internal or external to the company).
Work Environment This job operates in a professional office environment. Hybrid in Office opportunities are available for this role. This role routinely uses standard office equipment such as computers, telephones, photocopiers, shared file folders and efax.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to speak or hear. The employee frequently is required to stand, walk, use hands to finger, handle or feel, and reach with hands and arms.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position Type and Expected Hours of Work
This is a full-time position. The basic expectation is 40 hours worked per week.
This is a full-time position. The basic expectation is 40 hours worked per week.
Travel
Limited travel might be expected for this position (less than 10%) for in office training.
Additional Eligibility Qualifications
None for this position
Work Authorization/Security Clearance
Please note that a criminal background investigation is conducted on every Legal Access Plans employee.
All job requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.
AAP/EEO Statement
Legal Access Plans is an equal opportunity employer.
Other Duties
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws. Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently. Continued employment remains on an “at-will” basis.
Compensation: $36,000.00 - $46,000.00 per year
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
LegalEASE Mission Statement
To become the premier provider of legal plan benefits by providing extensive support, coaching and access to experienced attorneys in the highest quality manner, while holding true to our principles, values and goals as we grow.
Who we are
LegalEASE, a Legal Access Company, offers robust Legal Insurance Plans to employers and their employees across the nation. Through our service, members gain access to an easy-to-use legal service platform to get assistance with personal and family legal matters.
LegalEASE makes the needs of members a priority and strives to offer them the best product and service in a personal, but professional, manner. We take into consideration the employee’s feelings about their legal issue, and take the extra step in the attorney search process by providing an Advocate to the Member, who will remain with them throughout their case.
Since 1971, LegalEASE has been the industry standard in legal benefits and service. For the past 50 years we have made it our mission to deliver the best service imaginable to our members.
Inc. Magazine awarded LegalEASE as one of the Top 5000 Fastest-Growing Companies in 2011, 2012, 2013, 2017, & 2020.
We are 10 million members strong, with over 20,000 network providers, and growing.
Life and Culture
At LegalEASE, we consider our culture to be among our most important resources. Over the decades our team members have built our culture into what it is today — an environment for our team members to be creative and grow, have fun and be successful, and help our customers to the best of their abilities. Today, this culture is the core at our decision making and strategy.
When you join the Team you get to work with an Incredible Group of Extraordinary Human Beings passionately engaged in our mission to make a real difference in the lives of our members.
Our Guiding Principles
- Create a customer focused work environment by providing your coworkers with the same level of service, respect and dignity you would a member
- Embrace diversity as an essential component in the way we do everything.
- Apply the highest standards of excellence in the credentials of our Providers, level of service and processes we use daily
- Help each member individually and ensure that everything you do is in the interest of the member
- Contribute positively to our industry, community and our environment
- Recognize that productivity is essential to our profitability and future success
Join Our Team
We create a customer focused work environment by providing Team Members with the same level of service, respect, and dignity that we provide to our members. Our deeply instilled culture is personified by our Team Members who ensure that we have helped each and every member to the best of our abilities, and to become a company that is easy to work with.
If you want to be a part of this cohesive team with opportunities to build a successful career, LegalEASE is the right place for you.
We create a customer focused work environment by providing Team Members with the same level of service, respect, and dignity that we provide to our members. Our deeply instilled culture is personified by our Team Members who ensure that we have helped each and every member to the best of our abilities, and to become a company that is easy to work with.
If you want to be a part of this cohesive team with opportunities to build a successful career, LegalEASE is the right place for you.
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Growth and Career Advancement
At LegalEASE you are empowered to lead and be an active participant in your career growth. With various coaching, mentoring opportunities including our Leadership in Training program.
Health and Wellness
Our benefits are designed to support you and your family, build and promote a balanced approach to health and wellbeing. We offer a competitive benefits package, including traditional benefits medical, dental, vision, 401k and Life Insurance.
Compensation
We offer competitive compensation as well as a company 401K match, holiday pay, Legal Plan, medical expense card and additional Supplemental involuntary insurance plans that cater to the needs of our diverse team.
On-Site Amenties
Free Fitness Center
On-site Cafe
Lunch Drop
Secured Parking
PTO
We value and encourage having a good work/life balance and want to make sure that our employees have time away from work to relax and recharge with Vacation, Sick and Personal Leave options.
Flexibility
We know that one desk doesn't fit all and that great work happens anywhere. Our flexible approach means we have remote, hybrid and in office opportunities.