Claim Clerk

Ccmsi • Irvine, CA

11d • Remote

About The Position

Provides administrative and clerical support to claims personnel and team members, ensuring high-quality service aligned with CCMSI client expectations and corporate standards. Demonstrates flexibility, initiative, and the ability to work independently with minimal supervision. Maintains strict confidentiality and discretion while contributing effectively as a collaborative team member in a fast-paced, evolving environment.

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.
• High School diploma or equivalent required.
• Proficient in Microsoft Office & Proficient typing skills

Nice To Haves

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Responsibilities

• Provide administrative support for claims processing, including matching incoming mail to assigned accounts
• Follow up on billing inquiries and outstanding items
• File claim correspondence and maintain organized claim documentation
• Set up new claim files and complete required setup tasks per instructions
• Serve as backup support for reception duties as needed
• Summarize correspondence and medical records in claim system notes and ensure proper filing
• Retrieve, re-file, and manage closed claim files and storage systems
• Maintain accurate and organized claim file storage
• Photocopy and distribute claim documents as requested
• Return provider and other calls as directed by claim staff
• Support claim teams and client-specific service needs
• Ensure compliance with team service commitments and performance standards

Benefits

• 4 weeks ( Paid time off that accrues throughout the year in accordance with company policy)
• 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)
• Internal training and advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED