Claims Assistant
ICW Group•Orlando, FL
•Hybrid
About The Position
The purpose of this job is to provide administrative support and overall assistance to Claims Examiners. This position exists to ensure the timely payment of benefits and administration of claims in compliance with state law.
Requirements
- High school diploma or general education degree (GED) required.
- Minimum 1 year of related experience and/or training; or equivalent combination of education and experience.
- Basic understanding of office procedures.
- Solid customer service, phone and time management skills.
- Intermediate Microsoft Office Suite: Outlook, Word, Excel, PowerPoint as well as the ability to learn enterprise resources planning (ERP) software.
- Excellent data entry, strong attention to detail and ability to prioritize assignments.
- Ability to read, write and comprehend simple instructions, short correspondence and memos.
- Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals.
- Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
- Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Responsibilities
- Delivers basic to intermediate administrative support to Claims Examiners.
- Contacts insured or other involved persons to obtain necessary information to process claim.
- Documents conversations or information on appropriate enterprise resource planning (ERP) system.
- Organizes and works with Examiner using computer to enter, access, search and retrieve data.
- Stays current with diary tasks and procedural changes.
- Imparts exceptional customer service to internal and external customers, including insureds.
- Provides information to insureds, injured workers or provides referrals to outside vendors as requested by the Examiner.
- Processes claims for indemnity payments and state mandated forms.
- Processes non-medical payments.
- Organizes and works with Examiner using computer to enter, access, search, and retrieve data.
- Assists Claims Examiner with complete post-claims resolution and related administrative projects.
- Schedules appropriate medical appointments, calculates mileage and sends appointment letter reminders.
- Interacts with nurse on case management regarding return to work status.
- Supports Claims Examiners in the preparation, processing and monitoring of payments.
Benefits
- Generous medical, dental, and vision plans
- 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off
- Paid holidays throughout the calendar year
- Support for continued learning
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
