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 the Interfolio link 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 College does not discriminate, or permit discrimination, on the basis of race, color, national or ethnic origin, disability, religion, age, military or veteran status, sex, sexual orientation, gender identity or expression, marital or familial status, pregnancy, genetic information, or any other characteristic protected by law in any educational programs and activities it operates, including admissions or employment, as required by Title IX of the Educational Amendments of 1972 (which requires that the College not discriminate on the basis of sex); the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 (which require that the College not discriminate on the basis of disability); Title VI of the Civil Rights Act of 1964 (which requires that the College not discriminate on the basis of race, color, or national origin); Title VII of the Civil Rights Act of 1964 (which requires that the College not discriminate in employment on the basis of race, color, religion, sex, or national origin); the Age Discrimination Act of 1975 (which requires that the College not discriminate on the basis of age);and other applicable laws and College policies. Individuals may report concerns or questions to the Director of Educational Equity/Title IX Coordinator. Copies of relevant policies and procedures can be found at https://sash.lafayette.edu/policies-laws/
