Talent.com
Allied Benefit Systems
Appeals SpecialistAllied Benefit Systems • Chicago, IL, United States
Appeals Specialist

Appeals Specialist

Allied Benefit Systems • Chicago, IL, United States
2 days ago
Job type
  • Full-time
Job description

Appeals Specialist

Fully Remote Allied Benefit Systems

Overview

Salary Range $20.00 - $21.00 Hourly Position Type Full Time Category Claims

Description

POSITION SUMMARY:

The Appeals Specialist will be responsible for the organization and completion of all claim appeals received in the Appeal Department.

ESSENTIAL FUNCTIONS:

  • Reviewing appeal and supporting documentation
  • Reviewing Summary Plan Documents to determine validity of appeal
  • Composing appeal response letters when necessary
  • Communicating with other departments and clients when necessary
  • Documenting the QicLink system and database with appeal status and outcome
  • Emailing claims examiners and other units when necessary
  • Prioritize incoming referrals to complete all tasks timely
  • Performs other related duties as assigned

EDUCATION:

  • High School diploma or equivalent required

EXPERIENCE AND SKILLS:

  • 3 years or more of comprehensive experience with the billing of or otherwise handling of medical, dental and vision claims required.
  • Applicant should be proficient in the use of the Excel and Word programs
  • Experience with or ability to learn Microsoft Access
  • Be able to communicate effectively both orally and by email
  • Applicant must have the ability to analyze claim situations, take appropriate actions and be great with communication and documentation.
  • Applicant must have a history of excellent quality results and the desire to take on a new challenge if currently employed at Allied.

POSITION COMPETENCIES:

  • Communication
  • Customer Focus
  • Accountability
  • Functional/Technical Job Skills

PHYSICAL DEMANDS:

  • This is a standard desk role long periods of sitting and working on a computer are required.

WORK ENVIRONMENT:

  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

Create a job alert for this search

Appeals Specialist • Chicago, IL, United States

Similar jobs

Campaign Specialist

Starcom Mediavest Group Germany GmbhChicago, IL, United States
Full-time

Welcome to Our World We've been leading the charge in the affiliate industry from day oneestablishing performance marketing and paving the way for future innovations.We're known for maintaining one... Show more

 • Promoted

Campaign Specialist

Digitas North AmericaChicago, IL, United States
Full-time

Company description Welcome to Our World We've been leading the charge in the affiliate industry from day oneestablishing performance marketing and paving the way for future innovations.We're known... Show more

 • Promoted

GENERAL APPLICATION - NO SPECIFIC JOB

Greenwood Care IncEvanston, IL, United States
Full-time

If you do not see the job you are seeking on our website, please complete our General Application.Upon receipt, it will be reviewed and if we have a job that matches your skills and qualifications,... Show more

 • Promoted

Senior Claims Specialist

WestfieldChicago, IL, United States
Full-time

Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims.Handle claims in accordance with C... Show more

 • Promoted

Insurance Claims Specialist

JobotCicero, IL, United States
Permanent

Stable, growing Insurance company with terrific career growth, benefits, team seeks dedicated Insurance Claims Specialist to join - Hybrid role! This Jobot Job is hosted by:Catherine Reid Are you a... Show more

 • Promoted

Campaign Specialist

MslgroupChicago, IL, United States
Full-time

We've been leading the charge in the affiliate industry from day oneestablishing performance marketing and paving the way for future innovations.We're known for maintaining one of the largest, most... Show more

 • Promoted

Subrogation Specialist

Argo GroupChicago, IL, United States
Full-time

Argo Group is an underwriter of specialty insurance products in the property and casualty market.Argo offers a full line of products and services designed to meet the unique coverage and claims-han... Show more

 • Promoted

Claims Specialist- Financial Lines

Westfield InsuranceChicago, IL, United States
Full-time

Directly handle, manage and/or oversee financial lines plastic card fraud and theft claims; and employment practices liability claims.Handle claims in accordance with Claim Handling Best Practices ... Show more

 • Promoted

Campaign Specialist

Prodigious WorldwideChicago, IL, United States
Full-time

Welcome to Our World We've been leading the charge in the affiliate industry from day oneestablishing performance marketing and paving the way for future innovations.We're known for maintaining one... Show more

 • Promoted

Multi-Line Claim Specialist

CCMSIChicago, IL, United States
Full-time

Position Title: Multi Line Claim Specialist.Location: Hybrid Reporting to Chicago, IL Region Chicago-area candidates preferred.This role may be performed remote in states where CCMSI is authorized ... Show more

 • Promoted

Complex Claims Specialist-MPL

HiscoxChicago, IL, United States
Full-time

Build a brilliant future with Hiscox.Join our dynamic and forward-thinking Claims team! Here, you'll be part of an energetic and innovative group, with the chance to help shape insurance products a... Show more

 • Promoted

(Future Opportunities) Remote Healthcare Provider Network Contractor

EWINGSChicago, IL, United States
Remote
Full-time

Future Opportunities Healthcare Provider Network Contractor.EWINGS is seeking to build our talent network with Network Contractor professionals that have a minimum of 5+ years of experience develop... Show more

 • Promoted

Complex Claim Specialist, Cyber

AmTrust FinancialChicago, IL, United States
Full-time

Amtrust Cyber Claims Team LeadWe are a growing and flourishing Cyber/Tech Team with offices around the country.In this role, you will be the AmTrust Cyber Claims Team Lead responsible for overseein... Show more

 • Promoted

Claims Examiner

CanopiusChicago, IL, United States
Full-time

Claims Oversight SpecialistProvides oversight of personal and commercial lines property claims, including review and approval of claims exceeding the TPA's authority.Analyses coverage and ensures t... Show more

 • Promoted

Remote Client Acquisition Specialist

Virtualite Business Process Outsourcing ServicesChicago, IL, United States
Remote
Full-time

About Virtualite Virtualite Business Process Outsourcing Services helps entrepreneurs and organizations streamline operations through virtual support and digital process management.We drive growth ... Show more

 • Promoted

Onboarding Specialist

Beacon HillChicago, IL, United States
Full-time

We are seeking an experienced Onboarding Specialist to support a high-volume hiring and acquisition period.This contract role will play a critical part in managing onboarding operations, offer lett... Show more

 • Promoted

Apply here!

BBR PartnersChicago, IL, United States
Full-time

BBR Partners is a boutique wealth management firm providing customized investment strategies and bespoke advice to high-net-worth individuals and families.Our clients are comprised of the brightest... Show more

 • Promoted

Claims Specialist

Odyssey GroupChicago, IL, United States
Full-time

Headquartered in New York City with offices throughout the U.Vancouver, Canada, Hudson is a market-leading specialty insurer that offers a wide range of property and casualty insurance products to ... Show more

 • Promoted

Specialist RES - US Remote

Illinois StaffingChicago, IL, United States
Remote
Full-time

Real Estate Contract SpecialistPrimary Function:Manage the 3rd Party Sale process from receipt of contract to sale closing.Key Duties and Responsibilities:Review Contract/Offer; assess terms, inter... Show more

 • Promoted

Insurance Verification Specialist & Appointment Scheduler Orthopedic Office

Chicago Center for Sports Medicine and Orthopedic SurgeryTinley Park, IL, United States
Full-time

The Insurance Verification Specialist is responsible for ensuring the accuracy of patient insurance information and resolving any issues that could impact the billing process.This role is vital in ... Show more