Claims Support Services Assistant

ICW Group•San Diego, CA

5d•$20 - $31•Hybrid

About The Position

The Claims Support Services Assistant provides basic financial, payment, and administrative support to the claims department to facilitate efficient operations and a superior customer experience. The role handles check processing and payment inquiries, assists with payment corrections and errors, and supports claims data accuracy and administration. It also performs research and data entry, reviews payment timeliness and state forms, supports reinsurance-related accounting tasks, and updates departmental resources as requested. The position operates in an office environment and uses standard office equipment, including a computer, telephone, and copier.

Requirements

High school diploma or GED.
At least 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 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, including mailing checks issued in-house.
Review incoming checks, identify their payment type and appropriate department, and coordinate with examiners to apply payments to claims as appropriate.
Coordinate with accounting to confirm successful check deposits.
Research returned checks and resend them as appropriate.
Perform payment corrections, resolve payment errors, obtain authorization for offsets and corrected payment transactions, and respond to payment inquiries from vendors and internal customers.
Perform claim modifications, correct errors, obtain authorization before changing specified claim fields, 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.
Review and research potentially late indemnity payments for each jurisdiction daily.
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.