Claims Assistant

TL;DR

Claims Assistant (Insurance Claims): Assist the claims auditor by accurately and timely entering filings, documentation, and reports into internal databases with an accent on compliance with state laws and company procedures. Focus on high-volume transaction processing, monitoring incoming emails, and routing large-claim notifications to the nurse based on diagnosis and/or dollar thresholds.

Location: Newtown Square, PA

Company

hirify.global is an insurance distribution platform offering wholesale brokerage, program administration, and specialty insurance solutions.

What you will do

• Assist claimants, providers, and clients with questions and issues related to claims and/or policies.
• Ensure all claim-related activities follow state laws, company policies, and established procedures.
• Monitor incoming emails and enter received information into databases within 24 hours.
• Enter notices (including Trigger Diagnosis Reports and LCM notices) and notify the nurse for potentially large claimants per guidelines.
• Process claims, checks, and SLAM Reports.

Requirements

• BA/BS preferred, or high school diploma with 6–12 months of related experience and/or training (or equivalent combination).
• Ability to process high volumes of transactions accurately.
• Proficiency with Microsoft Office (Word, Excel, Outlook).
• Ability to work independently and collaborate in a team environment.

Culture & Benefits

• Equal opportunity workplace committed to fair employment practices.
• Full-time role with responsibilities focused on accuracy, timeliness, and compliance.

Hiring process

• Review of qualifications and experience for claims processing and documentation accuracy.
• Interviews to assess ability to handle high-volume transactions and work with Microsoft Office tools.