Claims Assistant

Claims Assistant

The Claims Assistant will be responsible for providing administrative support to the Claims Superintendents and assist in all aspects of the claim life cycle.

Responsibilities include:

• Responsible for support queue activities i.e. format letters mail, file/policy copies, download documents and void/stop payments in system.
• Process deductible requests and send notices to the insureds.
• Enter new losses and add documents to the system.
• Access information in response to inquiries from attorneys, brokers, or insureds. Respond to agents' requests in the form of correspondence and via phone.
• Maintain records and complete projects specific to accounts handled by the Claims Superintendents.
• Review and approve payments entered by the superintendent.
• Gather necessary information for CMS reporting.
• Process all new vendor information in Contact Manager. Check all new requests in system to prevent duplications. Adjust and consolidate any duplicates. Process all address changes as needed. Verify the accuracy of Tax ID numbers received from vendors with the Internal Revenue Service. Act as liaison for Finance for Tax IDs.
• Act as liaison between claims personnel and vendor when requesting files from storage site.
• Publish claims committee schedule twice per week and provide quarterly reports to Claims Department executives.
• Submit medical malpractice reports as required by state medical boards and National Practitioner's Data Bank.
• Responsible for the Billing Inbox. Review all independent adjuster invoices under $1,000 for compliance with guidelines. Create activities for the superintendents to process invoices in source system. Update rates and respond to any inquiries for LEX.
• Additional projects as assigned.

Qualifications include:

• High School Diploma required. Associate or Bachelor's Degree, preferred.
• Minimum of 1-2 years of administrative support experience.
• Insurance industry knowledge is a plus.
• Ability to assess priorities and manage deadlines effectively.
• Effective communication skills, both verbal and written.
• Strong organizational skills.
• Proficiency with MS Office Suite.

Additional company details include a competitive compensation plan and robust benefits package for full time regular employees which for this role includes: Base Salary Range: $45,000 - $50,000 The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Eligible to participate in the annual discretionary bonus program. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.

Sponsorship not Offered for this Role