Insurance assistant job description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Peachtree Special Risk Brokers is seeking an Insurance Assistant to work from our Atlanta, GA offices.

The primary job function of this position is to support the clerical and administrative process of the Broker's book of business for both renewals and new business.
WHO YOU ARE:

You believe in working as a team and thrive in fun, collaborative environments. You have a client-focused attitude and value the importance of relationships, professionalism, and trust. You set goals high and aim higher. You have solid communication skills. You are detail oriented and organized. You enjoy learning new skills, systems, processes, and procedures. You are a great listener and are not afraid to ask questions. You believe that learning is vital to success.

WHAT YOU'LL DO:
Completes and files documentation required for risk acceptance determination. Verifies complete and proper coding. Services the designated book of business as it relates to administration; including by not limited to, handling invoices and setting up files. Confirms appropriate filings in accordance with applicable regulations. Maintains compliance with Quality Control guidelines. Performs other duties as assigned.

WHAT YOU'LL NEED:
One-year related experience and/or training; or equivalent combination of education and experience. Proficient with MS Office Exceptional telephone demeanor Exceptional and professional written communication skills Ability to maintain a high level of confidentiality


We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.

Job DescriptionEstablished in 1981, Rainbow International® offers home restoration, commercial restoration and carpet cleaning services through over 400 locations worldwide. We are on a mission to improve the lives of not only our customers, but also our employee family members. Rainbow International hires people who set high standards for themselves and want to "Live RICH" with a team that values Respect, Integrity, with Customer focus, while Having fun in the process. We want you on our team!

As a restoration technician, you are a key team member responsible for the restoration of carpets, upholstery and draperies that have been damaged by water, smoke, fire, debris or other methods of damage. Exemplifying our code of values, you show respect and courtesy to all customers and employees.

This position is right for you if you are self-motivated, thrive in fast moving environments, and are able to manage time to effectively meet deadlines. You have proven communication skills with supervisors, employees, and customers and are able to effectively manage a variety of situations on a day-to-day basis.
Specific Responsibilities:



Become proficient in water restoration, mold remediation, and fire damage clean-up Establish and maintain a schedule to ensure all services are delivered in a timely manner Respond to water jobs and initiate water mitigation according to IICRC standards and Rainbow International's process Communicate with customers about scope of work and review necessary paperwork Maintain all company restoration and cleaning equipment, keeping them clean and properly maintained to be available at all times Perform marketing tasks to sell additional services or develop additional business as required Perform other duties as needed which may include cross-training in related positions
Job Requirements:



Restoration and construction experience helpful, but not required Valid Driver's License Able to occasionally lift and/or move up to 100 pounds. Computer literate, with working knowledge of work processing, business software and spreadsheet applications Excellent communication skills
Benefits:
Benefits package varies by location


We are actively interviewing for this position - Apply today and our hiring manager will follow up!

Notice
Rainbow International LLC is the franchisor of the Rainbow International Restoration® franchised system. Each Rainbow International Restoration® franchised location is independently-owned and operated by an independent franchisee performing services. As a service to its independent franchisees, Rainbow International LLC lists employment opportunities available throughout the franchised network so those employment opportunities may be conveniently found by interested parties at one central location for brand management purposes only. Rainbow International LLC is NOT the employer seeking help. The only employer is the independent franchisee who has listed its available positions on this website.
*Acknowledgement
I acknowledge that each independent Rainbow International Restoration® franchisee hires and determines the terms and conditions of employment for its own employees. Any employment benefits, compensation and employment practices vary by location. Neither Rainbow International LLC (“Franchisor”) nor its affiliates have the power to: (1) hire, fire or modify the employment condition of franchisee’s employees; (2) supervise and control franchisee’s employee work schedule or conditions of employment; (3) determine the rate and method of payment; or (4) accept, review or maintain franchisee employment records. Rainbow International LLC is NOT the employer and/or joint employer for: (i) any of the job opportunities listed on this website; (ii) any of the independent franchisees; and, (iii) any of the employees of the independent franchisees.

***Full-time position offering flex time and some remote work!
**JOB SUMMARY**

Assists consumers and/or patients through education and distribution of fair and impartial information concerning enrollment in federal and state qualified health plans and assist in the facilitation of enrollment in federal and state qualified health plans. To ensure that patients entering designated Saint Joseph Health System facilities are educated and provided with fair, impartial and accurate information regarding federal and state qualified health plan enrollment. Ensures customer service, quality and productivity are met. Represents the patient and/or consumer at appointments and with follow-up on all needed application/appointments. Acts as a resource for staff and patients.

**JOB DUTIES**

Actively demonstrates the organization's mission and core values, and conducts oneself at all times in a manner consistent with these values. Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information. Provides education related to state and federal qualified health plan program eligibility and/or offerings, including the benefits of health coverage and what health coverage generally may provide. Provides information to patients and/or consumers that is fair, accurate and impartial whereby the patient's and/or consumer's interests are focused upon, with the goal of assisting those individuals in understanding their options related to health insurance. Facilitates the selection of a state or federal qualified health plan based upon the patient and/or consumer's preferences, including filing all applications with appropriate state and/or federal agencies, internal departments and ensuring timely follow through with such entities and/or departments. Such facilitation includes proper documentation of all applications both internal and external.

Attends seminars, meetings and training programs to remain current on issues relevant to areas of responsibility. Reviews newsletters, bulletins, directives, legal briefs, etc. and shares information with appropriate parties. Maintains thorough knowledge of program requirements and is familiar with all eligibility manuals, contractual requirements, etc. Acts as an agent/authorized representative for the organization and on behalf of the patient at all relevant eligibility appointments, appeals, hearings, state requested meetings, legal proceedings and/or any appropriate appointments. Assures accuracy of applications in the overall objective of 98% accuracy by ensuring completion and correctness of all applications while maintaining a minimum approval rating of 80 to 85 percent for all relevant applications. Provides referrals to any applicable office of health insurance consumer assistance or any appropriate State agency for any patient and/or consumer with a grievance, complaint or question regarding their health plan, coverage or a determination under such plan or coverage. Provides information in a manner that is culturally and linguistically appropriate to the needs of the population serviced, including individuals with limited English proficiency and ensure accessibility of tools and functions for individuals with disabilities. Acts as a member of the team which includes ensuring time at work is used effectively, ensuring all work is reviewed for any errors and provides back up coverage during periods of absence. Performs other duties consistent with purpose of job as directed.

**JOB SPECIFICATIONS AND CORE COMPETENCIES**

**Education:** High school graduate or equivalent required. 3-5 years equivalent experience in a business, social services, Patient Accounting, etc. related field required. Some locations will require familiarity with Hispanic/Latino culture as well as the ability to speak and write Spanish fluently.

**Licensure:** Valid Indiana driver license and proof of valid automobile insurance. Become certified and licensed as a navigator in Indiana and Michigan within 3 months of hire. . Must acquire Indiana and Michigan, Department of insurance, ALH License within 3 months of employment.

For Spanish speaking colleagues, must complete Certification in Medical Interpretation (e.g. Bridging the Gap) within 6 months of hire.

**Experience:** Prior on the job training in medical clerical skills helpful. Prior experience patient accounts, patient access, and/or Medicaid eligibility experience required. Prior experience in insurance adjusting and private investigations helpful.

**Other Job Requirements:**

Background in Medical Terminology required. Must have course completion or on-the-job training in clerical skills such as keyboarding, file management, personal computers including word processing, calendar functions, managing printers, copiers, scanner and internet search proficiency.

Will be required to obtain state Medicaid Eligibility certification within the first 30 days of employment.

Will be required to work various hours, days including working holidays, weekends, additional or reduced hours as determined by customer needs. Hours and schedule must accommodate the patient and/or consumer needs in order to maximize reimbursement potential for the organization.

Cannot have had the following denied, suspended or revoked: insurance agent or broker license, Indiana or Michigan Navigator certification or any other equivalent license or certification.

Cannot have been convicted of a disqualifying felony or other crime, including any unfair trade practices or fraud in the insurance business.

Must provide own transportation and be able to travel to various locations. Will be required to provide field work, which may include home visits, medical office visits, and other community-based research. This will also include skip tracing, locating and gathering of medical support for appropriate Medicaid eligibility referral.

Neat, clean appearance. Hair should be clean and updated in style. Strong fragrances and excessive jewelry are prohibited.

May be exposed to a variety of personalities of patients, families and visitors.

Sensitive to variations in cultural differences; seeks help from others if concerned or needs guidance.

Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs.

**Our Commitment to Diversity and Inclusion**

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.