Claims Support Services Assistant

ICW GroupSan Diego, CA
$20 - $31Hybrid

About The Position

The purpose of this job is to provide basic financial, payment and administrative support to the claims department. The position exists to facilitate efficient operations and a superior customer experience.

Requirements

  • High School Diploma or general education diploma (GED) required.
  • Minimum 1 year of related experience and/or training; or equivalent combination of education and experience.
  • Demonstrated ability in Business Mathematics and administrative processes or other areas involving working with numbers and data.
  • Proficiency in Microsoft Office Suite including Word and Excel.
  • Strong problem-solving ability 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 related field a plus.

Responsibilities

  • Handles incoming, outgoing, and return checks as requested.
  • Provides administrative support to claims department including mailing checks issued in-house.
  • Reviews incoming checks to determine appropriate department.
  • Identifies type of payment and coordinates with the examiner to apply the payment to the claim as appropriate.
  • Coordinates with accounting to confirm successful deposit of each check.
  • Researches and investigates return checks and re-sends as appropriate.
  • Performs payment corrections and resolves payment errors as requested.
  • Obtains appropriate authorization to offset and enter corrected payment transactions per request.
  • Handles payment inquiries from vendors and internal customers.
  • Reviews and resolves payment processing errors.
  • Performs claim modifications, corrects errors and handles policy notifications as requested.
  • Obtains proper authorization prior to correcting specific claim fields (policy, date of loss, class code etc.).
  • Reviews and resolves claim data integrity errors.
  • Reviews policy endorsement and cancellation notifications to determine the impact to claims.
  • Manages a daily report for all claims opened on the dummy policy and tracks until placed on correct claim.
  • Reviews Claims data and assists with department initiatives as requested.
  • Performs a daily review and research of potentially late indemnity payments for each jurisdiction.
  • Reviews content of different state forms (website, letters, claim kits) and escalates as appropriate.
  • Reviews re-insurance monthly, including ceding excess losses in the accounting system.
  • Researches, verifies, and enters data into various systems.
  • Updates department iPortal page when requested.

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
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