Claims Technical Assistant - Charlotte. NC (Hybrid)

Selective Insurance Company of America•Charlotte, NC

17h•Hybrid

About The Position

Selective Insurance is seeking a Claims Technical Assistant for our Workers Compensation group. This is a hybrid role and will assist the technical staff of a claims office in any manner directed to expedite the adjustment of claims. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Requirements

Excellent communication and customer service skills.
Proficient in Outlook and Microsoft Office.
Must have valid state-issued driver’s license in good standing and be able to drive an automobile.

Nice To Haves

High School diploma or equivalent preferred.
Prefer 1-3 year of claims experience.
1-2 years previous administrative support experience preferred.

Responsibilities

Coordinates mail handling, scans and attaches mail to claim file, and notifies claim adjuster for necessary response, as needed, whether manually or via CCM. Mail is indexed for claim numbers and directed to the handling adjuster or supervisor in CCM or returned to the original sender. Identifies unmatched mail in WeQ and then system directed by CCM to the appropriate adjuster.
May input new losses and payment information, process payments and manual checks, and/or set up files. Maintains physical files for original documents such as titles and releases, from the receipt of the claim until the resolution of the claim file.
Processes and coordinates correspondence, mail, forms, and letters in ACS system, which may include electronic submissions. Takes and sends information by telephone, mail and/or fax. Follows up and diaries as appropriate.
Posts data to appropriate systems and generates and maintains claim records, reports, rosters, and/or logs. May distribute both within the organization and to external sources. May pull data from external sites. May be responsible for preparing claim files for quality control audits.
Answers, assists, and directs internal or external callers.
May send out W-9 forms and make expense payments at the direction of the adjuster. May process straight pays and release payments in the MPRA system.
Must be able to use multiple claim processing systems, including (but not limited to) MCS, ACS, CCM, EMPRA, CLAS, Claims Inquiry.
May obtain medical records from paperless claims files, scanning information, and making zip files to coordinate with IME vendors and attorneys. May take first reports over the phone, by mail, or fax and processes new losses and forward first reports to the claims service center for assignment to the adjuster.
May set up and distribute weekly regional conference schedules including maintaining litigation unit’s trial calendar. May maintain and report monthly spreadsheets on closing ratio, new assignments and closing reserve data. May enters medical billing information in MCS.
Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee’s time and a valid driver’s license.
Provides support to the technical staff by executing financial transactions, entering data into the Claims System for accurate state and regulatory reporting, and uploading information to the Claims Content Management (CCM) system to ensure proper mail delivery to claims personnel. All responsibilities must be performed following applicable legal and regulatory requirements.
Processes and coordinates correspondence, mail, forms, and letters in ACS system, which may include electronic submissions. Takes and sends information by telephone, mail and/or fax. Follows up and on diaries as appropriate.
Posts data to appropriate systems and generates and maintains claim records, reports, rosters, and/or logs. May distribute both within the organization and to external sources. Pulls and inputs data internal systems and external sites. May be responsible for preparing claim files for quality control and state audits.
May send out W-9 forms and make expense payments at the direction of the adjuster. May process straight pays and release payments in the MPRA system.
May obtain medical records from paperless claims files, scan information, and make zip files to coordinate with IME vendors and attorneys. May take first reports over the phone, by mail, or fax, process new losses, and forward first reports to the claims service center for assignment to the adjuster.
May set up and distribute weekly regional conference schedules, including maintaining the litigation unit’s trial calendar. May maintain and report monthly spreadsheets on closing ratio, new assignments, and closing reserve data. May enter medical billing information in MCS.