Claims Specialist II

Aon is looking for a Claims Specialist II

As a Claims Specialist, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance. This is a hybrid role with the flexibility to work both virtually and 2-3 days per week at our Fort Wayne, IN office.

At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed.

• Confirm coverage in system and verifies that both team and individual are sanctioned. Sends initial contact letter which also explains which benefits are available.
• Obtain information necessary for claim to be established in the claims system.
• Investigate to verify that injury occurred while claimant was participating in a covered event.
• Analyze medical bills for causal relationship to the accident/injury.
• Review Explanation of Benefits from primary insurance to determine obligation under our policy.
• If appropriate reprice medical bills through the PPO network and/or use system to see if procedures were reasonable and customary to establish proper payment.
• Issue payment to medical providers.

• Handles all assigned claims to a conclusion.
• Undertakes a high volume of claims and maintains Customer Service standards.
• Interacts with Carrier, Claimant, Health Care Providers, and Policyholders.
• Handle all inquiries from claimant, insured, or medical provider regarding the status of a claim.
• Comply with all rules, regulations, and laws regarding the payment of medical claim.
• Process/move and maintain claims within the claims workflow and archival systems.

• Accident and Health experience preferred either in a claim setting or as a medical biller/coder.
• Experience with working with third parties aplus.
• Experience with the Microsoft office suite products.
• Proficient typing skills necessary.

• Bachelor’s degree or equivalent years of industry experience.

In addition to our comprehensive benefits package, we encourage an inclusive workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self thermore, all colleagues enjoy two “Global Wellbeing Days” each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work...

and we are all for it. We call this Smart Working!

Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued.

Aon values an innovative and inclusive workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace.

Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply.

We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email Rea

For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances.

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

The salary range for this position (intended for U.S. applicants) is $37,000 to $43,000 annually. The actual salary will vary based on applicant’s…