Claims Admin

Claims Admin Job#: 3057549

Job Description:

Claims Admin

Location:

Birmingham, AL (On-site)

Role Overview We are seeking a detail-oriented and technically capable professional to support our workers' compensation claims organization. This role provides critical clerical and technical administrative support, ensuring the consistent flow of claims administrative processes. You will collaborate closely with claims adjusters and leadership to manage claims intake, medical-only workflows, and state-level reporting processes. This is an unlicensed position offering an excellent entry point to develop specialized knowledge within a growing insurance operations team.

Key Responsibilities Enter new claims into the claims platform and monitor progress through the system portal.

Monitor incoming faxes and digital communications to ensure timely response.

Review, scan, and assign incoming mail to the appropriate claims adjuster.

Create and release claim payables on a daily basis.

Assist with medical-only payments and administrative workflows to maintain current processing speeds.

Review system errors to identify and help resolve reporting issues related to state EDI transactions and federal guidelines.

Accurately input and submit EDI transactions to state regulatory bodies.

Answer phone inquiries from claimants and insureds, providing helpful and professional guidance regarding policies and claims.

Coordinate with external parties to pursue necessary documentation and support claims closure.

Required Qualifications

Education:

High school diploma or equivalent.

Experience:

Demonstrated experience in clerical, administrative, or data-entry roles requiring high accuracy and process discipline.

Technical

Skills:

Strong technical aptitude with the ability to navigate multiple databases, transfer information accurately between systems, and proficiency in the Microsoft Office Suite.

Preferred Qualifications Prior administrative experience within insurance claims, workers' compensation, or medical billing environments.

Familiarity with claims-management platforms, state EDI transaction reporting, or federal reporting guidelines.

Demonstrated comfort learning new software applications quickly.

Company Overview & Culture Our organization values dependability, detail orientation, and a strong team-first attitude. We operate in a growing and dynamic environment where every team member contributes directly to the customer experience. We are committed to thorough training and professional development, providing you with the tools needed to master our specialized systems and workflows.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package.

Our commitment to excellence is reflected in many awards, including Clearly Rateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process.  for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help.

You can access our privacy policy at Everforth Apex Benefits Overview:
Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a Support Linc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and…