Job Description
Full job description
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, ****** 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)
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, ****** 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)
💡 Quick Summary
Seeking a career-building opportunity? The Claims Entry/Front Desk Admin position is now open for candidates interested in the Insurance sector. This role in New York City offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Insurance is a plus.
