Keenan has an exciting career opportunity for a Claims Approver. As a Claims Approver you will accurately adjudicate high volume benefit claims in accordance with all Plan provisions and within ERISA timely guidelines and respond promptly and professionally to issues related claims and benefits.

Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability.

• Process claims and adjust claims previously processed incorrectly; determine appropriate action for reversal and/or reprocessing, request refund if necessary, and compose and distribute any other necessary correspondence.
• Follow-up on pending claims, review claim reports and call logs to determine necessary action, request additional information as needed, bring closure to claims when requested data has not yet been received.
• Refer complex claims and related service issues to Senior Claim Approvers due to intricacy, multiple procedures and/or dollar limits.
• Identify and process claims through Keenan vendors (e.g., network repricing, TPL)
• Observe and report trends.
• Other duties as assigned.

• Minimum of 3 years previous group claims experience is required with at least 1 years’ experience with self-funded/PPO claims recommended. 
• Knowledge of medical terminology, familiarity with standard reference materials, required.
• Completion of HIAA Group Courses is preferred. 
• Excellent problem-solving and written and verbal communication skills.
• Must be proficient in Outlook and Microsoft Windows.

To help you make the best decision for your personal growth, it’s important to us to share a glimpse of what we offer our top asset, our people:   

• Competitive base salary.   
• Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days.
• Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options.    
• Company match 401(k) plan – 50% up to 6%!   
• Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers.    
• Opportunity to prioritize your mental health with 24/7 access to licensed therapists.   
• Pet benefits & discounts.    
• Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout our company.

Compensation:

The target salary range for this position is $50,000.00 to $65,000.00 (US Dollar) annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. Hybrid work environment flexibility.

Accretive is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our innovative culture runs deep. We value relationships above all else and consistently deliver best in class customized solutions and service you can trust.

Accretive is passionate about fueling our clients’ innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive.  We are proud to be one of the largest brokers in the country, but we’re even prouder of the honest, caring relationships that our employees build with our clients every day.

Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. Accretive is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. Accretive is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!