Claims Assistant

Acrisure•Springfield, IL

2d•Onsite

About The Position

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions. Bringing cutting-edge technology and top-tier human support together, it connects clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services and more. In the last eleven years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in 21 countries. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.

Requirements

Professional telephone demeanor, good verbal and written communication skills, good listening skills, along with strong organizational skills.
Thorough knowledge of workers’ compensation claims procedures and policies.
Possess a strong understanding of human nature and motivation principles.
Readily control/handle problem issues in times of stress and in a climate of conflict and/or adversity.
Computer literacy including strong familiarity with Microsoft Office Suite.
Ability to type 45 WPM.
Basic understanding of business technology.
Responsiveness to changing business needs.
Ability to work well under pressure and multi-task in a fast paced environment while continually paying attention to detail.
Ability to adhere to the code of ethical conduct.
Ability to take direction and make decisions.
Ability to learn new procedures quickly and adapt to a changing environment.
Ability to work in a team environment.
Ability to work with limited supervision.

Nice To Haves

College degree preferred.
1-2 years of relevant claims processing experience preferable in the worker’s compensation field or similar experience.
Desire for career development within the insurance industry.

Responsibilities

Organizes the digital claim records for uniformity by removing duplicate records and top-lining documents.
Completes 10-day and 6-month claim maintenance checklists to ensure the highest level of claims statistical data processing in accordance with multiple calls for data.
Processes corrections to data error crits as required.
Completes manual Medicare query of claims at the CMS COB&R site as needed and documents the digital claim record.
Processes class code corrections that accurately depict the scope of an injured workers’ job and payroll.
Completes claim documents in both ImageRight and Powersuite.
Completes closure, re-opens, and reassignments of all claim files as submitted by Supervisory personnel.
Assists with record subpoenas and completes lien reviews organized with a worksheet summary.
Completes vendor referrals by service specialty and utilization review submissions to Rising.
Maintains contact with the WCAB for status updates on claims where named as a party to suit in error.
Complies with Maximus responses following IMR for timely fulfillment.
Reviews adjuster ImageRight tasks daily for medical authorization requests.
Provides administrative assistance to claim adjusting team members as needed.
The Claims Assistant II provides back-up in the entry of manual payments to the Claims Payable Analyst.
Other duties and projects as assigned.