Claims Clerk jobs in Macon, GA
Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Claims Clerk jobs
Claims Coordinator
- ServiceMaster of Middle GA
-
Macon, GA
FULL_TIME
-
Benefits:
- 401(k)
- Bonus based on performance
- Competitive salary
- Opportunity for advancement
- Paid time off
Claims Coordinator Job DescriptionReports To: Owner / Operations Manager |
Consults With: Operations Manager, Office Manager |
Department(s): Emergency Services / Mitigation |
Company Mission Statement:At Servicemaster of Middle Ga, We empower our team members by ensuring they have the tools and knowledge in order to make decisions and allowing them to lead rewarding fulfilling careers.Our Core Values:1.Integrity First2.Service before Self3.Excellence in all we do
Job Summary
The claims coordinator position is vital in the organization. This role ensures the jobs run smoothly and is the liaison between the insurance company, our company and restoring the customer back to whole.
Major Duties and ResponsibilitiesResponsible for oversight of all claims functions from creation to close.- Ensure all claims are entered correctly into Restore 365 and all required information and forms required are provided to technicians in order to prevent multiple trips.
- 24 hr scope notes & photos must be uploaded immediately on receipt and CAT/Class entered.
- Monitor programs consistently throughout the day to update service levels, upload all photos when sent by technicians, enter all updates in the notes. This includes Alacrity notes, MICA, Restore 365, and XACT.
- Ensure Compliance is at 100% green and documentation is required when it is not.
- Obtain all approvals on jobs including but not limited to vendor documents, additional equipment required, dumpsters and pods and maintain detailed records of each for trackability and ITEL submissions.
- Find solutions for the issues with approvals and compliance questions as the subject matter expert on each claim.
- Review each open job daily and address adjuster requests while also communicating with the team of progress including notifying when bill needs to be generated or estimate completed. This includes photo reviews, paperwork, scope reviews.
- Ensure claim file is complete with final template added as a note in XACT, Itel, CX as well as Inspection form w/ scope prior to closing job.
Minor Duties and Responsibilities- Assisting Office Manager when needed - Answering phones and handling customer issues as you will be the most aware of each claim.
Required Attributes- Must have a sense of urgency and a "Will do" attitude ready to jump in to assist the team. In the Emergency Services industry, we are not in control of when chaos ensues.
- Must be coachable and able to accept feedback with the knowledge it is provided to help you progress in your role.
Key Competencies- Sense of Urgency
- Organized
- Proactive
Daily Activity Log- Check compliances to ensure 100% green and address ANY issues complete with documentation or note in Restore as well as contacting parties to notify if waiting on materials from them.
- Ensure all updates for programs are communicated to the team.
- Review the job board to see daily jobs as well as POC working at each.
- Go through ALL open jobs in Restore Alacrity, and XactAnalysis.
- Contact adjuster or claims handler if still pending approval to ensure they have everything required from us. This may require multiple calls and emails to track them down. You are the internal customer service that will have the most contact with adjusters.
- Add a daily update note in each with the status from us or request update for what is required for payment to be issued from insurance in XACT. (This note can be made in XACT and copy/paste in Restore but MUST be in Restore)
- Ensure all documents including Estimate, Sketch and Scope are uploaded into Restore and organized within each file for the various jobs.
- If the tech has uploaded documents in Mica, download the photos/docs and upload in restore before turning to yellow and create reports by uploading to Xactanalysis.
- Check Mica and Contents Tracker to see if any info needed to complete tasks has been uploaded. Transfer to restore if necessary.
- On day 2 or 3 if there is nothing in MICA yet, start hounding that techs to get it uploaded
- Check EVERY ATP, ATR, COS and waivers once Tech has uploaded to ensure the correct form was signed. If they got the wrong form signed this needs to be handled IMMEDIATELY
- Ensure documentation and tracking on ALL equipment/dumpsters/Pods for each job and that pick ups are communicated to the Mitigation Manager and Estimator.
- Submit Itel samples daily and ensure Itel samples are collected, and uploaded to proper program.
- Ensure all scopes/ sketches are completed and scanned to estimator
- Send reminder message to tech that COS must be signed when equipment is picked up
- Verify all paperwork is correct by day 3-4 so that billing is not held up preventing 10 day cycle time being met.
- Ensure email/ chat is monitored throughout the day with response/ acknowledgement within 30 mins of receipt.
**When Claims Capture is sent, there will ONLY be an email notification before the compliance clock starts**
- Input new claims in Restore and make sure all required fields are completed:
- Update Customer/Company info
- Update job name
- Internal Participants tab (Foreman, Coordinator, Estimator, Marketing)
- External participants tab (Insurance Company, Adjuster)
- Referred by (must be listed on every job)
**Subject to change - 19 Days Ago
Claims Coordinator
- ServiceMaster Restore
-
Macon, GA
FULL_TIME
- Benefits: 401(k) Bonus based on performance Competitive salary Opportunity for advancement Paid time off Claims Coordinator Job Description Reports To: Owner / Operations Manager | Consults With: Oper...
- 23 Days Ago
Clerk
- Community Health Care Systems, Inc.
-
Helena, GA
FULL_TIME
- Responsible for data entry of EMR charges and payment. Collects payment from patient, if necessary, and schedules follow-up appointment. Balances EMR billing system with cash drawer and closes out at ...
- 19 Days Ago
Claims CRC Representative I
- GFB
-
MACON, GA
FULL_TIME
- DESCRIPTION OF ESSENTIAL DUTIES: Creates loss reports in loss notice system, handles claims for towing and arranges rental cars, assesses and assigns claims to proper handler, such as Auto Claims Adju...
- 12 Days Ago
Claims CRC Representative I
- Georgia Farm Bureau
-
Macon, GA
FULL_TIME
- DESCRIPTION OF ESSENTIAL DUTIES: Creates loss reports in loss notice system, handles claims for towing and arranges rental cars, assesses and assigns claims to proper handler, such as Auto Claims Adju...
- 12 Days Ago
Independent Insurance Claims Adjuster in Macon, Georgia
- MileHigh Adjusters Houston Inc
-
Macon, GA
FULL_TIME
- ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
- 1 Day Ago
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0 Claims Clerk jobs found in Macon, GA area
Criminal Investigator (Special Agent) Direct Hire
- Department Of The Treasury
-
Macon, GA
- Duties WHAT IS THE CRIMINAL INVESTIGATION (CI) DIVISION? A description of the business units can be found at: https://ww...
- 4/19/2024 12:00:00 AM
Human Resources Coordinator (HRC)
- Regency Hospital - Central Georgia
-
Macon, GA
- Overview: Critical Illness Recovery Hospital Human Resources Coordinator (HRC) Salary Range: $50K-$60K At Select Regency...
- 4/19/2024 12:00:00 AM
Supervisory Industrial Hygienist
- Department of Defense
-
Warner Robins, GA
- Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
- 4/19/2024 12:00:00 AM
Digital Media Specialist
- Air Force Materiel Command
-
Warner Robins, GA
- Summary About the position: This position will be assigned to the Marketing Office at Robins AFB, GA. Flexible employees...
- 4/19/2024 12:00:00 AM
Environmental Health Safety Engineer
- First Quality
-
Macon, GA
- First Quality was founded in 1989 and, in nearly three decades, has grown to be a global privately held company with ove...
- 4/18/2024 12:00:00 AM
ELECTRONICS TECHNICIAN
- Air Force Materiel Command
-
Warner Robins, GA
- Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
- 4/18/2024 12:00:00 AM
Engineer
- Department of the Air Force
-
Warner Robins, GA
- Summary The PALACE Acquire Program offers you a permanent position upon completion of your formal training plan. As a Pa...
- 4/17/2024 12:00:00 AM
Physicist
- Department of the Air Force
-
Warner Robins, GA
- Summary The PALACE Acquire Program offers you a permanent position upon completion of your formal training plan. As a Pa...
- 4/15/2024 12:00:00 AM
About Macon, Georgia
Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia."
Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk jobs
$32,925 to $41,657
Macon, Georgia area prices
were up 1.5% from a year ago
were up 1.5% from a year ago