Claims Coordinator

Reports To: Enterprise Applications & Data Integration Specialist

At New Health Partners, our mission is to equip insurance agents with the tools, resources, and opportunities to thrive. As health insurance advocates, we provide expert guidance and support, ensuring you have the confidence and knowledge to offer your clients the best options. With a powerful portfolio of products, expert marketing support, innovative technology, and a dedicated learning center, we empower you to grow your business and reach new heights of success — every step of the way.

We are seeking a motivated and dependable professional to join our team. Candidates of all experience levels are welcome and encouraged to apply, including entry-level and experienced professionals. This position is ideal for someone who is organized, detail-oriented, and comfortable working in a professional office environment while supporting both our internal team and the agencies and agents we work with.

The Claims Coordinator provides administrative and operational support in managing and coordinating insurance claims on behalf of the agents and agencies supported by New Health Partners. This position works closely with agents, agencies, insurance carriers, and internal team members to help ensure claims are properly submitted, documented, tracked, and followed through to resolution. This will be a hybrid position.

The position assists with claim submissions, documentation requests, claim status follow-ups, carrier communications, claim issues, escalations, and maintaining accurate claim records. The Claims Coordinator helps ensure that claims are properly organized and that agents and agencies receive timely updates and assistance throughout the claims process.

The position works under the direction of the Claims Manager and assists with day-to-day claims operations while escalating complex claims, unresolved issues, carrier disputes, or matters requiring management involvement.

The Claims Coordinator serves as a primary point of support for agents and agencies regarding claim-related questions, documentation, and follow-up. The Claims Coordinator works with insurance carriers to obtain claim status, request information, and assist with resolving issues while escalating complex or sensitive matters to the Claims Manager.

• - Assist agents and agencies with the submission and follow-up of insurance claims.
• - Contact agents and agencies to request missing documentation or information needed to process claims.
• - Communicate with insurance carriers regarding claim status, required documentation, processing delays, and claim-related questions.
• - Track submitted claims and monitor claim status, outstanding information, follow-up dates, and resolutions.
• - Collect and organize supporting documentation, including claim forms, medical documentation, bills, receipts, eligibility information, correspondence, and other requested records.
• - Review claim submissions for completeness and identify missing or incorrect information requiring follow-up.
• - Maintain accurate and organized claim files and records.
• - Follow up with carriers on pending, delayed, denied, or unresolved claims as directed.
• - Communicate claim updates and carrier responses to the appropriate agents and agencies.
• - Assist agents and agencies with understanding the status and next steps associated with their claims.
• - Document all claim-related communications, follow-ups, carrier responses, and outcomes.
• - Maintain claim trackers and internal databases with accurate claim information and status updates.
• - Cross-reference agent, agency,…