The responsibility of the team is to provide a supporting role for the Auto, Casualty and Property Claims divisions. Accuracy and timeliness of Support assignments have a direct impact on the claim experience and compliance with numerous insurance regulations.
Duties & Responsibilities:
- Filing
- Distribution of forms, letters, checks and reports.
- Process incoming mail/return mail.
- Mail all forms, letters, checks and transcriptions.
- Print as necessary from eDocs and websites.
- Assist appraisers and adjusters.
- Document Medicare file reviews and reporting information.
- Research problem mail.
- Generate simple checks (adjusting, tow bills, medical bills, salvage bills, etc.)
- Obtain claim check copies.
- Dictation/maintain transcript log.
- Monitor incoming phone calls.
- Order supplies.
- Set up claims.
- Appropriately document claim files, including entering draft payments into claim files.
- Rename and re-index documents.
- Process police report requests and update file upon return.
- Deposit salvage, review subro and salvage, tow, and glass checks.
- Process CD requests and Microfilm requests.
- Complete claims processes and transactions involving confidential and sensitive information.
- Responsible for all reinsurance support tasks.
- Review/process stale dated drafts/checks.
- Maintain DB on PACE, such as Providers.
- Process all tax levies.
- Research and process approved appraisal payments.
- Liability file set up.
- Loss set up AS400/coding.
- Complex PACE updates (DOL change, etc.).
- Access financial institutions (Stop pay).
- Moderate/Advanced database usage.
- Process more complex financial transactions, such as ROL and ROA.
- Issue any/all liability/subro payments.
- Process incoming mail/Process return mail.
- Mailing all forms, letters, checks and transcriptions.
- Maintain knowledge of Medicare reporting laws.
- Determine reportable injured parties through Medicare maintenance queues and provided reports.
- Pend medical bills, as needed, for further contact as necessary to obtain information.
- Research and correct any errors identified after the quarterly Medicare submissions are returned.
- Report BI settlements on all Medicare eligible claims.
- Meet monthly and quarterly filing requirements.
- Research problem mail.
- Review/analyze reports (Loss04, Loss25, Loss20 etc.)
- Review claim files, reports, and medical bills to obtain reportable details.
- Recheck claim file reports and forms as well as contact injured parties by letter and/or telephone to obtain missing or incorrect information.
- Perform ISO decision net search for social security numbers and/or date of birth.
- Effectively communicate and work with all Claims divisions as applicable.
Requirements:
Skills/Qualifications
- Understand the Medicare maintenance queues, actuate reports, and reports provided by analytics to aid in determining reportable injured parties.
- Good keyboarding and computer skills.
- Ability to work within a team.
- Attention to detail.
- Ability to follow established processes and instructions.
- Appropriate claim file documentation.
- Phone skills.
- Ability to multitask and prioritize.
Payband: 1/ 40 hours per week
Salary Range: $31,200- $35,787
Accepting applications until: 3/12/24