Claims Payable Analyst

Requirements

• College degree in Accountancy, required.
• Computer literacy; familiarity with Microsoft Office a plus.

Job Summary

Independently process claim payables for Medical Only Adjusters up to $1,500 (one-thousand five-hundred dollars).

General knowledge of the controlling state workers' compensation law is required as it pertains to payable processing.

The processing review analysis is documented in the imaged record and tracked in chronological order for future reference.

Medical records will be requested by the CPA at the time of bill review, if not contained in the imaged file.

Bill processing inquires should be directed to the Claims Payable Analyst.

Regardless of the amount, the CPA does not have authority to approve a lump sum settlement payable, however may process after the assigned Analyst has marked with an approval.

Support Functions

• bill review batching
• bill data entry
• vendor update/approval request
• medical deductible billing
• time and expense billing
• category reserve changes
• task to file handler upon insufficient reserves
• check voids
• stop payment requests
• check distribution
• all other duties as assigned

SKILL AND ABILITY PROFILE

• Good listening;
• Good written and communication skills;
• Ability to multi-task;
• Stronghold the understanding of human nature and motivation principles;
• Readily control/handle problem issues in times of stress, and/or in a climate of conflict or adversity;
• Ability to document claim file activities is required;
• Responsiveness to changing business or customer needs.