Claims Support (Hybrid)

Claims Support (Hybrid)

Claims Support's responsibility is to provide a supporting role for the Auto, Casualty and Property Claims divisions. Accuracy and timeliness of Support assignments have a direct impact on the claim experience and compliance with numerous insurance regulations.

Duties & Responsibilities :

• Filing
• Distribution (forms, letters, checks, reports).
• Printing as necessary from eDocs and websites.
• Dictation / Maintain Transcript Log.
• Contents Loss Inventory spreadsheet.
• Assist appraisers and adjusters.
• Document Medicare file reviews and reporting information.
• Generate simple payments (adjusting, tow bills, med bills, SALVB & SALVBC, etc.).
• Obtain claim check copies.
• Limited uses of databases (such as Reg83).
• Set up claim (PACE).
• Process CD requests and Microfilm requests.
• Enter draft payments to claim file.
• Rename / re-index docs.
• Process police report requests and update claim file upon return.
• Deposit salvage / Review subro and salvage, tow, and glass checks.
• Complete claims processes and transactions involving confidential and sensitive information.
• Responsible for all reinsurance support tasks.
• Review / process stale dated drafts / checks.
• Maintain DB on PACE, such as Providers.
• Process all tax levies.
• Research and process approved appraisal payments.
• Liability file set up.
• Loss set up AS400 / coding.
• Complex PACE updates (DOL change, etc.).
• Access financial institutions (Stop pay).
• Moderate / Advanced database usage.
• Process more complex financial transactions, such as ROL and ROA.
• Issue any / all liability / subro payments.
• Process incoming mail / Process return mail.
• Mailing all forms, letters, checks and transcriptions.
• Maintain knowledge of Medicare reporting laws.
• Determine reportable injured parties through Medicare maintenance queues and provided reports.
• Pend medical bills, as needed, for further contact as necessary to obtain information.
• Research and correct any errors identified after the quarterly Medicare submissions are returned.
• Report BI settlements on all Medicare eligible claims.
• Meet monthly and quarterly filing requirements.
• Research problem mail.
• Review / analyze reports (Loss04, Loss25, Loss20 etc.).
• Review claim files, reports, and medical bills to obtain reportable details.
• Recheck claim file reports and forms as well as contact injured parties by letter and / or telephone to obtain missing or incorrect information.
• Perform ISO decision net search for social security numbers and / or date of birth.

Requirements :

Skills & Qualifications :

Market Range 1 / 40 hours per week / Hybrid

Salary : $33,700-$48,600

Accepting applications through : 11 / 11 / 25

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.