Claims Adminstration

Job Summary

Under close supervision, this position provides comprehensive administrative support to the Claims function by coordinating communications, maintaining files, and ensuring data accuracy across internal and external systems.

Job Description

• Receive, screen, and route incoming phone calls, electronic mail, and physical mail to the appropriate internal teams or external parties

• Provide administrative and operational support to the Claims function through scheduling appointments, meetings, and conference calls

• Perform regular data management activities, such as data imports to claims systems and validating data accuracy to support reporting and compliance

• Process incoming and outgoing checks, including, but not limited to, depositing checks, logging activities, and resolving missing/incorrect information

• Submit legal preservation requests and manage required documentation, assisting in locating and collecting related documents within systems as needed

• Request, obtain, and catalog external records (e.g., police reports) and supporting documentation required for claims investigations, settlements, and legal matters

• Manage medical reporting requirements, primarily Medicare and Medicaid, by tracking mandatory information and ensuring timely and accurate submission in accordance with regulatory standards

• Administer vendor and invoice processes through creating and maintaining vendor profiles in accounting and legal systems, processing department-specific invoices, and filing vendor-related documentation for claims and settlements

• Support departmental operations by preparing supporting documentation for monthly financial reporting, assisting with resignation settlements, procuring department supplies, and contributing to special projects as assigned

Qualifications

• High School Diploma or GED with up to 1 year of relevant experience, education, training, and/or military equivalent

Benefits

• Medical benefit

• Dental benefit

• Vision benefit

• 401(k) retirement plan

• Life insurance

• Short-term and long-term disability coverage

• Paid time off commensurate with tenure (includes vacation and sick time)

• Six weeks of paid maternity leave along with two weeks of paid parental leave

• Six paid holidays annually