Claims Support Representative

ICW GroupSan Diego, CA
Onsite

About The Position

The purpose of this job is to oversee administrative processes within the Claims department. This position exists to alleviate the administrative responsibilities of the claims staff and to ensure that department inquiries are responded to in a timely manner.

Requirements

  • High school Diploma or GED required.
  • Minimum 1 year of related experience and/or training; or equivalent combination of education and experience required.
  • Basic working knowledge of office procedures and processes.
  • Solid data entry, attention to detail and phone skills.
  • 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 apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
  • Ability to use critical thinking skills to assess incoming phone calls and requests.
  • Basic Microsoft Office Suite: Outlook, Word, Excel, PowerPoint, and ability to use multiple databases/programs to access information.

Responsibilities

  • Provides administrative assistance to the Claims team.
  • Prints benefit and claim notices and prepares for mailing.
  • Follows communication guidelines when handling different topics.
  • Identifies the needs of customers and direct calls to appropriate team members or departments.
  • Answers phone calls from customers in a professional manner and responds to inquiries.
  • Provides callers with basic claim information and payment status.
  • Collects W9 forms from vendors to process payments.
  • Reviews medical bills for potential new losses, required corrections, and/or assigns to existing claims.
  • Pays bills as needed.
  • Manages group email account and processes requests.
  • Provides backup assistance to claims support teams.
  • Performs responsibilities required in branch offices as needed.
  • Provides front desk reception and associated administrative responsibilities.
  • Orders office supplies.
  • Reserves/books conference rooms and sets up offices/workstations for new employees.
  • Manages incoming and outgoing mail and packages.
  • Maintains printers and Pitney Bowes (or similar) mail machines.

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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