Client Relations and Claims Coordination Intern

As a Client Relations and Claims Coordination Intern you are responsible for determining reimbursements for out-of-network claims, processing adjustments, auditing manual claims and will aid in coordinating next level requests with Group Administration and EDI teams. This internship provides a unique opportunity to gain hands-on experience in sales support, client communications, claims management, and data processing within a fast-paced business environment.

ESSENTIAL JOB FUNCTIONS

• Process out-of-network claims received via email, fax or upload via VBA’s Member Portal
• Process claims adjustments

• Work as a first point of contact for benefit administrators, brokers and third-party agents by handling calls, emails, chats, and faxes
• Process manual enrollments (changes/adds/terms/Cobra)
• Assist with creating ad hoc reports for business
• Handle sensitive member PII and PHI and ensure HIPAA compliance
• Process Benefit Administrator Portal Access Forms and provide support to brokers, benefits administrators, and third-party agents on entering and editing enrollment using the group portal
• Support the Member Services and Provider Relations Teams in answering incoming member account questions
• Send copies of Group Insurance bills to benefit administrators
• Use document management technology (Content Server) for securing and storing documents through their lifecycle
• Work with both Client Relations and Claims Coordination teams to resolve issues
• Perform activities and functions of related lower-level personnel as assigned or required.

 *The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of this position.

EDUCATION: Currently enrolled in an undergraduate program, preferably in Business Administration, Sales, Finance, or a related field.

KNOWLEDGE, SKILLS AND ABILITIES

• Strong written and verbal communication skills.
• Attention to detail and excellent organizational abilities.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook).
• Ability to handle sensitive information with discretion.
• Team player with a positive attitude and willingness to learn.
• Previous customer service or administrative experience is a plus.

WORK ENVIRONMENT/PHYSICAL DEMANDS

• This is a remote position within the Pittsburgh, PA area.  In-office work may occur periodically based on business need. 
• Work is performed in a home office environment and may require:
• occasionally lifting 0 – 20 pounds.

 To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions described herein.  Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description, but which may be reasonably considered to be incidental in the performing of their duties just as though they were actually written out in this job description.