Sr Claims Clerk

Crawford•Lake Zurich, IL

About The Position

Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office. Responsibilities Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM. Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients. Performs control operator functions for various Service Center or Claim Office data systems. Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity. Receives dock and messenger service deliveries and verifies accuracy of delivered material. Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment. Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry. Assists in updating jurisdictional notices and manuals used in the office. Pulls files from storage for in-house state audits. Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports). Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems. Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status. Schedules medical appointments and sends all appropriate correspondence relating to that appointment. Performs other related work as required or requested. Upholds the Crawford Code of Conduct.

Requirements

High school diploma or GED; or the equivalent in related work experience.
Minimum 5 years of experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures.
Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
Proficient in the Microsoft suite of products and like systems.
Must be capable of working in a fast paced environment.
Must be flexible, adaptable, and have excellent multi-tasking skills.
Must be technically proficient.
Excellent oral and written communication skills are essential.

Responsibilities

Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
Performs control operator functions for various Service Center or Claim Office data systems.
Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
Receives dock and messenger service deliveries and verifies accuracy of delivered material.
Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
Assists in updating jurisdictional notices and manuals used in the office.
Pulls files from storage for in-house state audits.
Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
Performs other related work as required or requested.
Upholds the Crawford Code of Conduct.