Reporting to the Director of Sports Medicine, the Insurance Claims Specialist is responsible for the administration and oversight of insurance claims related to student-athlete injuries. This position serves as the primary point of contact for insurance coordination, ensuring timely and accurate claims processing while supporting student-athletes and their families through the claims process.
The successful candidate will contribute to the overall effectiveness and administrative duties of the Sports Medicine unit by maintaining compliance with institutional policies, NCAA guidelines, and applicable insurance regulations.
Responsibilities:
● Administer all aspects of the student-athlete insurance claims process, including intake, submission, tracking, and resolution
● Serve as the primary liaison between student-athletes, parents/guardians, healthcare providers, and insurance carriers
● Verify primary insurance coverage and coordinate secondary insurance provided by the College
● Collect, review, and submit required documentation (e.g., itemized bills, EOBs, medical records) in a timely and accurate manner
● Monitor claim activity, follow up on outstanding claims, and resolve denied or delayed claims
● Maintain detailed, accurate, and confidential records in compliance with HIPAA and College policies
● Educate student-athletes on insurance procedures, required documentation, and timelines
● Collaborate with athletic trainers, team physicians, and administrative staff to ensure proper documentation and communication
● Generate reports on claims activity, trends, and financial exposure as requested
● Assist with department administrative functions as needed
Qualifications:
● Experience in medical billing, insurance claims processing, or healthcare administration preferred
● Working knowledge of insurance terminology, claims workflows, and coordination of benefits
● Strong attention to detail and organizational skills
● Effective written and verbal communication skills
● Ability to manage sensitive and confidential information with discretion
● Experience in intercollegiate athletics or a sports medicine setting preferred
Compensation & Application:
This is a part-time, hourly position (850 hr/year). Please apply via https://apply.interfolio.com/185691 and provide three professional references, a resume, and a cover letter. Review of applications will begin immediately and continue until the position is filled.
Lafayette is deeply committed to creating a diverse community, one that is responsive inclusive and is supportive of each and all of its faculty, students, and staff. All members of the college community share in the responsibility for creating, maintaining, and developing a learning environment in which difference is valued, equity is sought, and inclusiveness is practiced. All Lafayette operations reflect the college’s commitment to diversity, equity, access, and inclusion (deai) initiatives, and lafayette welcomes applicants from diverse backgrounds.