Claims Account Administrator

LocktonKansas City, MO

About The Position

This role involves managing claims data, ensuring accuracy, and facilitating communication between clients, insurance carriers, and internal teams. The Claims Account Administrator will be responsible for data entry, system audits, tracking claims, and providing support to the account team. Key aspects include maintaining client records, reporting claim information, and ensuring quality assurance in the claims process. The position also requires acquiring knowledge of the insurance brokerage business, industry trends, and relevant regulations.

Requirements

  • Bachelor’s Degree in Business Administration or related field and/or years of experience equivalent
  • Up to three years of Client services experience is required
  • Strong knowledge of Microsoft Office Suite (Word, Outlook, Excel, and PowerPoint)
  • Strong verbal and interpersonal communication skills required
  • Understands industry trends and governmental regulations
  • Ability to complete continuing education requirements as needed
  • Ability to attend company, department, and team meetings as required, including industry training sessions
  • Ability to comply with all company policies and procedures, proactively protecting confidentiality of client and company information
  • Ability to efficiently organize work and manage time in order to meet deadlines
  • Ability to travel by automobile and aircraft
  • Ability to use office equipment such as a computer, keyboard, calculator, photocopier, and facsimile machine
  • Ability to work on a computer for a prolonged amount of time
  • Ability to work outside of normal business hours as needed
  • Legally able to work in the United States

Responsibilities

  • Collecting client’s claims data from various insurance carriers or TPA RMIS Systems including loss runs.
  • Entering data into claims management systems and auditing for accuracy, completeness, and conformity to established procedures.
  • Entering claim and coverage information into claim management systems.
  • Assisting with the development of claims management systems for tracking/monitoring, trending, and reporting of claims statistics.
  • Assisting with tracking trending, unique, or significant claims.
  • Interacting and supporting the account team with claim summary information as well as claim data.
  • Fielding all questions and acting on requests concerning claim progress.
  • Receiving and responding to routine internal/external client inquiries, maintaining documentation of communications, existing issues, and issue resolutions, referring complex inquiries to more senior staff.
  • Being proactive in handling daily communications paying special attention to items requiring immediate attention and ensuring they are addressed by claims team.
  • Receiving claim information from internal/external client or and verifying relevant policies for reporting to carriers and tracking in appropriate claim filing systems.
  • Reporting claim information accurately and promptly to the appropriate insurance carrier on behalf of the internal/external client; communicating claim information to insurance carrier and internal teams.
  • Maintaining communication with internal/external client and insurance carrier; preparing status reports on critical claims for client.
  • Preparing written correspondence and making telephone calls to claims adjusters as requested by senior staff.
  • Helping produce communications such as newsletters, bulletins, presentations as requested by senior staff.
  • Meeting with Producer and Commercial Insurance Department associates concerning claims progress.
  • Maintaining and keeping records of clients.
  • Assisting in the upkeep of carrier adjuster information.
  • Interacting and supporting account team by scheduling and tracking client claims reviews.
  • Taking notes at claims reviews and updating tracking systems as needed.
  • Pulling loss runs, preparing agenda and other material for claim reviews.
  • Protecting the confidentiality of information learned by performing the duties of the position.
  • Making positive contributions to customer satisfaction and constantly striving to improve service to the customer.
  • Acquiring an understanding of insurance brokerage business and insurance coverages.
  • Researching industry trends, government regulations and relevant statute and caselaw impacting external clients.
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