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Claim Assistant

Claim Assistant

CompanyAF Group
LocationGrand Rapids, MI, USA
Salary$38100 – $64000
TypeFull-Time
Degrees
Experience LevelJunior, Mid Level

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