Claims Assistant

PRIMARY PURPOSE

To provide support to the claims staff and to perform other office tasks depending on the client program.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Sets up and enters new claims into claims management system.
• Inputs and reviews notes/diaries in claims management system as instructed.
• Processes payments.
• Processes mail; handles filing, faxing and photocopying.
• Reviews, prepares, creates, and/or sends letters, reports, and forms.
• Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.
• Performs other duties as assigned.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES

• Supports the organization's quality program(s).

QUALIFICATIONS

• Education & Licensing: High school diploma or GED required. Six (6) months of clerical or customer service experience or equivalent combination of education and experience required.
• Skills & Knowledge: Excellent oral and written communication; PC literate, including Microsoft Office products; Strong organizational skills; Ability to work in a team environment; Ability to meet or exceed Performance Competencies.