Florida Claim Support Processor

AAA-The Auto Club Group

2d • $20 - $24 • Hybrid

About The Position

Florida Claim Support Processor – The Auto Club Group This position requires reporting in office 3–5 days per week, as determined by management. Candidates must reside within 50 miles of the AOB Tampa office (9125 Henderson Road, Tampa, FL 33634) to be considered. What you will do: The Auto Club Group is seeking prospective Claim Support Processor who in accordance with established guidelines, assign claims electronically. In this position, you will have the opportunity to: Recognize subrogation potential and refer claims to appropriate area as indicated. Update claims files to document assignments. Review claims assignments within assigned area to ensure proper load-balancing. Perform quality control tasks to ensure the timely assignment of claims. Monitor claim systems to ensure proper assignment of claims based on key identifiers within intake reports. Notify management of system problems or potential issues. Forward claim files to appropriate areas (e.g. Legal) as necessary. Perform a variety of high-level support duties to ensure the proper handling of claims. Assist management in the support of department projects and research and compile requested information. Gather information for management reports. Create and distribute various reports and/or documents including: agent workload assignments, open claims, agent attendance, etc. May enter, process, retrieve and/or correct data to ensure systems are updated and management has correct information to respond to inquiries. Review claim files to ensure payments are disbursed to appropriate individuals. Assist other staff members in performing claim support functions such as typing correspondence/memos and responding to telephone inquiries as needed during peak periods/staff shortages. Answer customer/vendor calls and provide information, as needed. Perform other related duties as assigned. Supervisory Responsibilities (briefly describe, if applicable, or indicate None): N/A With our powerful brand and the mentoring, we offer, you will find your position as a Claim Support Processor can lead to a rewarding career at our growing organization. Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.

Requirements

• High school education or equivalent
• Completion of ACG approved training program for the position
• A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.
• P.C. software applications
• Knowledge of: General claim processing functions
• Claim processing system
• Ability to: Work under pressure
• Organize and prioritize work
• Prepare claim files
• Communicate effectively with others over the telephone and in person
• Investigate policy coverage, including the establishment of new policies and verification of cancelled policies
• Compose a descriptive narrative
• Perform alphabetic and numeric filing
• Use basic math skills
• Bend and stoop in order to file and/or retrieve claims documents
• Sit for the majority of the day
• Operate a PBX console
• Handle multiple tasks
• Use automated processing and computer systems
• Audit records and computer files
• Rotate within department to perform various training or support functions
• Provide high quality customer service
• Analyze and problem solve

Nice To Haves

• College level coursework or equivalent claims experience
• 6-20 All Lines Adjuster license
• Preparing claim files and diary entries
• Knowledge of: Insurance processing, including the understanding of policy/coverage terminology
• Medical bills (CMS 1500 forms)

Responsibilities

• Recognize subrogation potential and refer claims to appropriate area as indicated.
• Update claims files to document assignments.
• Review claims assignments within assigned area to ensure proper load-balancing.
• Perform quality control tasks to ensure the timely assignment of claims.
• Monitor claim systems to ensure proper assignment of claims based on key identifiers within intake reports.
• Notify management of system problems or potential issues.
• Forward claim files to appropriate areas (e.g. Legal) as necessary.
• Perform a variety of high-level support duties to ensure the proper handling of claims.
• Assist management in the support of department projects and research and compile requested information.
• Gather information for management reports.
• Create and distribute various reports and/or documents including: agent workload assignments, open claims, agent attendance, etc.
• May enter, process, retrieve and/or correct data to ensure systems are updated and management has correct information to respond to inquiries.
• Review claim files to ensure payments are disbursed to appropriate individuals.
• Assist other staff members in performing claim support functions such as typing correspondence/memos and responding to telephone inquiries as needed during peak periods/staff shortages.
• Answer customer/vendor calls and provide information, as needed.
• Perform other related duties as assigned.

Benefits

• Medical, dental and vision benefits
• 401k Match
• Paid parental leave and adoption assistance
• Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
• Paid volunteer day annually
• Tuition assistance program, professional certification reimbursement program and other professional development opportunities
• AAA Membership Discounts, perks, rewards, and much more

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED