Claim Assistant

Claim Assistant

Requirements

• High school diploma or G.E.D required
• At least 2 years of administrative experience
• Continuous learning required, as defined by the Company’s learning philosophy
• Certification, or progress toward, highly preferred and encouraged
• Ability to work independently as well as in a multifunctional business unit is essential
• Effective oral and written communication skills are essential
• Excellent customer service and organizational skills are essential
• Ability to manage multiple priorities and adapt to changing workflow in order to still meet deadlines and goals are essential
• Proficient in Microsoft Windows
• Attention to detail and analytical skills required
• Ability to enter and verify alpha/numeric data accurately

Responsibilities

• Supports the customer service work and processes for the multi-functional claims team
• Answers general claim inquiries from providers and provides verification of claim status
• Communicates and collaborates with team members to ensure the appropriate and timely handling of claims
• Supports the account management process appropriately for the team’s book of business
• Computes the proper payment for the medical bills for non-indemnity and simple indemnity claims directly associated with the accident or activity
• Provides administrative support to the Claims Department using word processing and spreadsheet applications
• Ensures that all payments are made in an accurate and timely manner and that all files are closed to meet internal performance standards while complying with state legislation
• Adheres to the Employee Code of Ethical Conduct
• Completes other duties and special projects as requested

Preferred Qualifications

• Previous experience in an insurance environment or previous knowledge of workers’ compensation laws is desired
• Knowledge of medical terminology is preferred