Claim Support Assistant II

AAA-The Auto Club Group
Hybrid

About The Position

The Auto Club Group is seeking prospective Claim Support Assistant II who will provide support to the Claims department by completing functions that require an advanced understanding of claims support functions, concepts, processes and the organization and workflow for one or more Claims lines of business. In this position, you will work independently with very limited supervision to complete functions that may require analysis, research, calculations, data entry and the synthesis of information from multiple sources. You will also provide telephone support for customer inquiries, review claim documents for accuracy, manage diaries and unauthorized lists, and request information from vendors and customers. The role involves distributing mail, faxes, assignments, and other inbound-related tasks to Claim Representative(s), and preparing and mailing various forms/letters. You will utilize multiple claims systems to review incoming checks, research for proper allocation, process deposits, and align payments to appropriate accounts. Other duties include completing ACG check verification requests, working with Asset Control to resolve balancing and allocation issues, running reports for review and reconciliation, and completing daily balancing activities. When assigned to Subrogation departments, you will complete subrogation demands, process paperwork, and update claims systems. Additionally, you will research and verify insurance on newly assigned claims for claim handlers and pay approved invoices. This position can lead to a rewarding career at our growing organization.

Requirements

  • High school education or equivalent
  • Completion of ACG approved training program for the position
  • Experience in: Analyzing, researching and resolving administrative problems
  • Experience in: Working with P.C. software applications
  • Experience in: Maintaining accurate files and records
  • Experience in: Operating a calculator
  • Experience in: Performing mathematical calculations
  • Experience in: Maintaining accurate records
  • Experience in: Utilizing a personal computer
  • Experience in: Writing correspondence and memos
  • Knowledge of: Claim processing functions
  • Knowledge of: Claim processing system
  • Knowledge of: Claim processing policy and procedures
  • Ability to: Work independently with limited supervision
  • Ability to: Audit records, products and computer files
  • Ability to: Work independently
  • Ability to: Gather data and prepare report information
  • Ability to: Analyze, research and resolve problems
  • Ability to: Work well under pressure
  • Ability to: Organize and prioritize multiple tasks
  • Ability to: Prepare claim vendor files
  • Ability to: Communicate effectively with employees, vendors and customers over the telephone and in person
  • Ability to: Use basic math skills

Nice To Haves

  • Associate’s degree in Business Administration or a related field, or the equivalent in related work experience

Responsibilities

  • Work independently with very limited supervision to complete functions that may require analysis, research, calculations, data entry and the synthesis of information from multiple sources.
  • Provide telephone support for customer inquiries (includes inbound and outbound support).
  • Review claim documents for accuracy and determine the next action within the process.
  • Manage diary and unauthorized lists.
  • Request information from vendors and customers upon request from adjusters.
  • Distribute mail, faxes, assignments and other inbound-related tasks items to assigned Claim Representative(s).
  • Prepare and mail various forms/letters on behalf of Claim Representatives when necessary.
  • Utilize multiple claims systems to review incoming checks.
  • Research incoming checks for proper allocation and process deposits.
  • Align payments to the appropriate account based on decisions made by the assigned Claim Representative.
  • Complete ACG check verification requests.
  • Work with Asset Control to review, identify and resolve balancing and allocation issues.
  • Run required reports to locate items in need of review and reconciliation.
  • Complete daily balancing activities to ensure that file updates and payments properly align.
  • Balance ACIA general claim accounts when claim reversals are off balance.
  • Investigate stop pay requests for accuracy.
  • Review the Outstanding Check Register to identify and closeout outstanding checks.
  • Review positive pay reports.
  • Complete subrogation demands including processing paperwork and updating claims systems (when assigned to Subrogation departments).
  • Research and verify insurance on newly assigned claims for claim handlers including both personal and commercial lines of business for Casualty.
  • Pay invoices when approved.
  • May be assigned tasks normally handled by the lower-level staff when necessary.

Benefits

  • Competitive salary of $20.00 - $24.00 annually with an annual bonus potential based on performance.
  • 401k Match
  • Medical
  • Dental
  • Vision
  • PTO
  • Paid Holidays
  • Tuition Reimbursement
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