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.
• Other activities/projects as assigned including the preparation and distribution of computer reports.

Additional Functions and Responsibilities

• Performs other duties as assigned.
• Supports the organization's quality program(s).

Qualifications

Education & Licensing: High school diploma or GED required.

Experience: Six (6) months of clerical or customer service experience or equivalent combination of education and experience required.

Skills

• 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