Supports PAL Claims department by creating new claims; issuing, posting, and voiding checks; providing and maintaining information on all lines of business in accordance with departmental and company guidelines and standards.
Essential Functions and Responsibilities
(Other duties may be assigned)
Initiates new claims by verifying coverages; entering information into Homepage; requesting appropriate reports or estimates from various sources; distributing claims to appropriate staff member.
Manages check payment process by posting field and manual drafts in PCA; voiding drafts; issuing stop payments, loss and expense checks; sending checks via certified mail.
Ensures customer service by answering general questions on the phone; monitoring call center message center; routing appropriate messages to proper staff members.
Maintains department files by adjusting reserves; changing follow-up dates; reassigning, closing and organizing files in accordance with department guidelines and procedures.
Maintains databases’ accuracy by entering new and updated claims information.
Produces information by requesting, generating, formatting, inputting, editing, retrieving, copying, transmitting, and distributing letters, forms, files, policies, reports, memos, and other pertinent documentation for claims files to and/or for appropriate staff members.
Maintains appropriate databases by entering medical, medical provider, police and/or fire departments, plaintiff and defense attorney, federal identification numbers and adjuster information.
Maintains claims handling process by researching appropriate Underwriting file in order to verify and clarify coverage.
Prepares files for scanning by pulling staples, eliminating duplicate pages, and organizing files for Imaging.
Reproduces document pages as necessary to improve clarity.
Transcribes adjuster notes to Homepage.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Required:
High School diploma or equivalent.
Alphanumeric data entry of at least 6000 keystrokes per hour.
Basic math skills.
Experience with operating typical office machines (such as a copy machine, fax machine, computer).
Experience in Microsoft Office with focus in Microsoft Excel.
Society Insurance - 10 months ago
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