Insurance Assistant 1 - Administration - PEIA - Kanawha Co.
About The Position
Join our team at PEIA! Under close supervision, at the entry level, enter data and review documents for accuracy to confirm eligibility according to WV code, PEIA plan document, Summary Plan Description and Shopper's Guide. Works with various reports. Professionally assists benefit coordinators, members and coworkers with account and/or member issues via email, telephone, and/or face to face. Assist customer service by answering inquiries, resolving complaints, and explaining benefits, rules, regulations and agency policies. May travel throughout the state at times. Performs other duties as needed.
Requirements
- Training: Graduation from a standard high school or the equivalent.
- Experience:Two years of full-time or equivalent part-time paid experience in a clerical capacity.
- Your complete work history is needed to qualify you for positions. Please be as detailed as possible and list all of your past employment.
Responsibilities
- Answers less complex written and verbal inquiries from members, retirees, providers, attorneys, Third Party Administrators, state and local government agencies, and the general public by explaining rules, regulations and agency policies.
- Composes and types correspondence.
- Enters data into computer system.
- Resolves problem claims by interacting with claimants, payroll clerks, providers and insurance companies.
- Assists in researching appeals.
- Documents telephone calls.
- May travel throughout the state explaining benefit programs.
- May prepare monthly billings and update premiums for agencies.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Executive, Legislative, and Other General Government Support
Education Level
High school or GED
Number of Employees
11-50 employees
