Claims Clerk

Crawford•Las Vegas, NV

23h•Hybrid

About The Position

Under direct supervision, the Claims Clerk performs a variety of claim clerical support duties for a Service Center or Claim Office. The role supports claim file processing, office operations, communications, payments, and audit preparation. It also includes routine contact with agents and insureds to obtain claim coverage information, as well as coordination of medical appointments and related correspondence. The Claims Clerk upholds the Crawford Code of Conduct.

Requirements

High school diploma or GED, or equivalent related work experience.
Basic knowledge of computer operations, claim file systems, and procedures.
Proficiency in Microsoft Office products and similar systems.
Ability to work in a fast-paced environment.
Flexibility, adaptability, and excellent multitasking skills.
Technical proficiency.
Excellent oral and written communication skills.

Nice To Haves

Two years of administrative experience is preferred but not required.

Responsibilities

Match the proper file and/or claim number to unidentified correspondence using automated systems for mail delivered by USPS, ACS, or the ODM unmatched mail queue.
Type letters, benefit notices, and memorandums for medical appointments, attorneys, or external clients.
Perform control operator functions for various Service Center or Claim Office data systems.
Retrieve and re-file items from the central storage facility and maintain accurate records of file activity.
Receive dock and messenger-service deliveries and verify the accuracy of delivered material.
Prepare outgoing mail for shipment, including necessary attachments, wrapping, and sealing; this may include shipping and receiving computer equipment.
Perform clerical duties such as answering telephones, taking messages, distributing faxes, making payments, sorting and preparing files, and entering data.
Assist in updating jurisdictional notices and office manuals.
Pull files from storage for in-house state audits.
Prepare electronic files for state audits, including payment histories, file notes, and medical reports.
Contact agents and insureds on routine claims to obtain coverage information, or obtain it through available systems.
Issue payments, request wage information for adjusters, order surveillance, and make medical calls to obtain current work status.
Schedule medical appointments and send all appropriate correspondence relating to those appointments.
Perform other related work as required or requested.
Uphold the Crawford Code of Conduct.