Claims Support Services Assistant

ICW Group•San Diego, CA

4d•Hybrid

About The Position

The Claims Support Services Assistant provides basic financial, payment, and administrative support to the claims department, helping facilitate efficient operations and a superior customer experience. The role handles check processing and payment inquiries, researches and resolves payment errors, performs authorized claim corrections, and supports claim data integrity and department initiatives. It also reviews payment timing, state forms, and reinsurance activity, and researches and enters information into various systems.

Requirements

High school diploma or GED.
Minimum of 1 year of related experience and/or training, or an equivalent combination of education and experience.
Demonstrated ability in business mathematics and administrative processes or other areas involving work with numbers and data.
Proficiency in Microsoft Office Suite, including Word and Excel.
Strong problem-solving and critical-thinking skills.
Ability to research problems and offer solutions.

Nice To Haves

Bachelor’s degree from a four-year college with a major or emphasis in Business Administration, Accounting, Mathematics, or a related field.

Responsibilities

Handle incoming, outgoing, and returned checks as requested, including mailing checks issued in-house.
Review incoming checks to determine the appropriate department, identify payment types, and coordinate with examiners to apply payments to claims.
Coordinate with accounting to confirm successful check deposits.
Research returned checks and resend them as appropriate.
Perform payment corrections, resolve payment errors, and obtain authorization to offset and enter corrected payment transactions.
Respond to payment inquiries from vendors and internal customers.
Perform claim modifications, correct errors, and handle policy notifications as requested.
Obtain authorization before correcting specified claim fields, such as policy, date of loss, or class code.
Review and resolve claim data integrity errors.
Review policy endorsement and cancellation notifications to determine their impact on claims.
Manage a daily report of claims opened on the dummy policy and track them until they are placed on the correct claim.
Review claims data and assist with department initiatives as requested.
Daily review and research potentially late indemnity payments for each jurisdiction.
Review state forms, including website content, letters, and claim kits, and escalate issues as appropriate.
Review reinsurance monthly, including ceding excess losses in the accounting system.
Research, verify, and enter data into various systems.
Update the department iPortal page when requested.