Claims Assistant
Claims Assistant
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Responsibilities
This position provides broad administrative and technical support to the Claim Operations team within the ERMG with a moderate level of supervision. The position works collaboratively with all members of the Claim Operations team different stakeholders in CSH markets external vendors healthcare providers and other ERMG staff. Responsibilities include management of electronic and physical claim files preparing correspondence data entry issuing claim payments as directed and communication with internal and external customers.
Essential Key Job Responsibilities
- Provides prompt and quality claim customer service to ERMG business partner/stakeholders through professional written and oral communication
- Updates and maintains accurate information in the Claim Operations database (ORCHID)
- Provides support for claim payments and tracking including:
- W-9 form entry and maintenance on payees or contacts
- Data entry and coding of claim payments
- Preparing correspondence with outgoing payments or other claim related communication
- Ability to respond to general claim questions and complete claim support functions (update file data order police reports index claimants manage claim retention policies etc.)
- Provide direct claim assistance to assigned Claim Managers including:
- Facilitating transmittals of new assignments to defense counsel
- Maintain current policies/discovery responses and provide to defense counsel as needed
- Assist in obtaining medical records
- Assist in maintaining accurate claim information in Orchiddatabase as requested.
- Creates claim files within Orchid (claim) database
- Acknowledge and distribute corporate service of process activity
- Manage and adjust small dollar claims under supervision as assigned by ERMG Leadership
Qualifications
Required Education and Experience
- Bachelors degree preferred equivalent experience may be considered in lieu of degree
- Minimum three (3) years experience in customer service and data entry
- Minimum of two (2) years experience in Insurance claims or other related field
Employment Type
Unclear
