Claims Services Coordinator

Claims Services Coordinator

The Claims Services Coordinator works with the Claims Services Managers (CSMs) to enhance customer service to all clients, internal staff, and other service providers.

ESSENTIAL EDUCATION AND EXPERIENCE : Bachelor's Degree or the equivalent with three (3) years administrative assistance experience.

SKILLS / COMPETENCIES REQUIREMENTS :

• Proficient in Microsoft Office, including intermediate level Excel and Word
• High level of customer service
• Detail oriented / accurate
• Adaptable to online web-based systems
• High level of confidentiality
• Ability to handle deadlines and work under pressure at times
• Organizational, planning, and prioritization skills
• Strong analytical, problem solving, and judgment skills
• Works well independently and in a team environment
• Strong initiative
• Willingness to volunteer for projects outside normal work tasks
• Interpersonal skills and open communication
• Commitment to company values
• Integrity

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Help CSMs organize claim review meetings by inviting clients to participate in semi-annual (sometimes quarterly) claim reviews, schedule these reviews, and make sure all dates, times and call-in information is communicated to the client, the CSM, the broker and the TPA.

Distribution and analysis of claim service satisfaction and other surveys.

Gather necessary data points and communication drafts.

Run frequent reports and format them as requested by member companies / vendors / brokers.

Department projects from data warehouse needs to department process efficiencies.

Provide a Claims Services Guide to all new captive members and set up new captive members with the appropriate third-party administrator when requested.

PRIORITIES : Claim reviews, reports, daily communication, projects

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