Claim Clerk

Ccmsi • Houston, TX

2d • Onsite

About The Position

The Claim Clerk position's responsibilities are to provide essential administrative and clerical support to claims personnel and team members, ensuring the efficient handling and processing of daily workloads. This role is accountable for delivering high-quality claim service that consistently meets CCMSI client expectations and adheres to established Corporate Claim Standards.

Requirements

• Excellent oral and written communication skills.
• Initiative to set and achieve performance goals.
• Ability to cope with job pressures in a constantly changing environment.
• Knowledge of all lower level claim position responsibilities.
• Must be detail oriented and a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize required.
• Flexibility, accuracy, initiative and the ability to work with minimum supervision.
• Discretion and confidentiality required.
• Reliable, predictable attendance within client service hours for the performance of this position.
• Responsive to internal and external client needs.
• Ability to clearly communicate verbally and/or in writing both internally and externally.

Nice To Haves

• Bilingual (Spanish) proficiency- highly valued for communication with claimants, employers, or vendors, but not required.
• Computer Skills- Proficient in Microsoft Office & Proficient typing skills

Responsibilities

• Match mail for assigned accounts.
• Follow up on bills.
• File claim mail and related documents.
• Set up designated claim files and complete all set up instructions, as requested.
• Back-Up for Receptionist
• Summarize correspondence and medical records in the claim log notes as wells as file it in the appropriate claim, as directed by claim staff.
• Retrieve closed files and re-file in storage.
• Maintain claim files in storage.
• Photocopy claim documents, as needed.
• Return provider calls or other calls, as directed.
• Provide support to claim staff on client specific teams.
• Compliance with service commitments as established by the team.
• Performs other duties as assigned.

Benefits

• 4 weeks ( Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth : Internal training and advancement opportunities
• Culture : A supportive, team-based work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed