Claims Entry/Front Desk Admin

About Carisk Partners, Inc.Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors and other managed care organizations.Through its Pathways 2 Recovery care model, Carisk Partners aims to improve outcomes and reduce overall cost of quality care by applying best practices in a patient - centered approach to manage complex challenges for the group health, casualty and auto markets.Role Overview:The Claims Entry/Front Desk Admin is an integral part of the operations team, ensuring auto and workers' compensation insurance claims are accurately entered into a proprietary system and submitted to client payors in a timely manner.This role also provides essential administrative and clerical support, contributing to the seamless day-to-day flow of the claims process.Role Responsibilities:Primary duties to include:Data Entry Review paper, electronic, faxed and emailed claims for completeness and accuracy.Verify claims are auto injury related or Workers Comp related Data entry of all valid claim details into the database Review appropriate claims queues in our system to capture all pending claims.Verify benefits with Auto Carriers or Workers Comp carriers Claims Submission Submit claims to the payors in an accurate and timely manner Attach all appropriate supporting documentation to the claims prior to submission.Work with collectors to submit corrected claims when information requested by insurance provider was missing or omitted.Work with collectors to submit paper claims to health insurance as needed.Communicate with stakeholders Reply to network facility groups with confirmation of claims submitted on their behalf Report inventory and aging to management Sort and distribute incoming and outgoing correspondence managing the flow of documents Prepare deposit payments received via mail by scanning and distributing checks to appropriate departments.Manage the generic email boxes and fax number by distributing to the appropriate employee or department Scan and electronically file a variety of documents Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.Duties, responsibilities and activities may change at any time with or without notice.Role Qualifications:2-year associate's degree or equivalent experience Experience working in a busy office setting Superior PC skills Excellent time management skills Strong organizational skills Workers' compensation, auto or healthcare claims knowledge is a plus Solid Communication and interpersonal skills that include both written and oral communication Ability to prioritize work Attention to detail is critical Must be able to work independently Demonstrate a positive can-do attitude Culture and Benefits at Carisk:10 Paid Company Holidays Paid Time Off Competitive Medical, Dental, and Vision Insurance Company Sponsored Life Insurance Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits 401(k) Retirement Plan with Company Match ClassPass Wellness Program Employee Discount Program Flexible and Hybrid Schedule Options Internal Education Programs and Tuition Reimbursement Options Internal Advancement Opportunities Company-Wide Diversity and Holiday Celebrations Best Places to Work Award Recipient 5 years in a row! Schedule options and work location vary between departments and management approval Carisk Partners provides equal employment opportunities to all employees and applicants for employment, and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.The pay range for this role is:20 - 24 USD per hour(Florham Park Office).