Claims Solutions Accounts Receivable Support Associate

EMC Insurance CompaniesDes Moines, IA
5d$37,116 - $56,406

About The Position

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together. To be considered, candidates must reside in or near Des Moines, IA metro area

Requirements

  • High school diploma or equivalency
  • Three years of claims or office support experience
  • Good knowledge of claims processing procedures, primarily regarding workers’ comp, general liability and auto liability claims
  • Good knowledge of accounts receivable preferred
  • Strong verbal and written communication skills
  • Strong data entry skills and ability to file alpha and numeric information accurately
  • Ability to work on multiple tasks while meeting deadlines
  • Strong organizational and customer service skills
  • Ability to maintain a high level of confidentiality

Responsibilities

  • Completes Electronic Data Interchange (EDI) filings.
  • Researches and assists adjusters with coding issues.
  • Serves as a liaison between claims adjusters and state government to determine filing requirements.
  • Ensures compliance standards are followed in state filing requirements.
  • Maintains accuracy in reporting to meet individual states’ requirements.
  • Receives claims reports via phone, email and fax.
  • Enters claims into Filehandler Claims System and CLMS.
  • Provides general assistance to clients when reporting new claims.
  • Posts check deposits, ACH transactions, refunds and recoveries for clients in Filehandler Claims System, Workday and CLMS.
  • Enter weekly sweep requests.
  • Processes returned ACH transactions and void transactions within CLMS and FHE.
  • Ensures all documents and files have been stored securely per EMC compliance regulations.
  • Trains team members on EDI filings.
  • Completes special projects, such as updating reporting systems with current claim coding or transition/integration of new EDI states.
  • Completes requests from adjusters, such as finding faxes, mailing letters or printing labels.
  • Maintains ERS team phone list, organizational chart and emergency planning staff list, orders supplies, promotional items and equipment for the company, with other organizational and administrative duties as assigned.
  • Opens, scans and indexes incoming mail to claims files in multiple systems.
  • Retrieves and sends faxes from servers and indexes faxes to claim files in Filehandler Claims System and CLMS.
  • Answers 800 claims line and relays messages.

Benefits

  • More than 105 years of financial strength and stability
  • Named a five-star insurance carrier by Insurance Business America
  • Two-time recipient of the Best Practices Award of Excellence from the Independent Agents & Brokers of America
  • Multiple locations recognized as Top Workplaces based solely on team member feedback
  • Corporate culture that engages and empowers team members to achieve their best
  • Outstanding benefits with life, medical, dental, vision and prescription drug coverage
  • Competitive paid time off plan and a full day of volunteer time off annually
  • Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards
  • Professional development and growth opportunities, including tuition reimbursement
  • Wellness initiatives to improve team member well-being and reduce health insurance costs
  • Flexibility to dress for your day and opportunities for alternative work arrangements
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