Description
Works with a team in support of 30 workers' comp and general liability adjusters and managers by entering new claims, answering the toll-free phone line, filing state reports, handling checks and performing other duties in support of the Risk Management (claims insurance) department.
Job Responsibility
• Originate claims in the claims management system, claims set up. (40%)
• Answer the Risk Management toll free phone line, return and transfer telephone calls to appropriate parties. Answer questions from claimants and providers. (30%)
• File state reports (First report of injuries {FROI's}), EDI. (15%)
• Approve all new vendors and make vendor address changes. (5%)
• Pick up and sort department checks three times per week. (5%)
• Communicate new claims to our TPA where appropriate. (2%)
• Run wage statements for adjusters. (1%)
• Sort, index and determine path for medical bills in question. (1%)
• Provide general support to adjusters for numerous functions. (1%)
Job Qualifications
• Ability to read and interpret data.
• Strong organizational skills and the ability to prioritize.
• Excellent phone call handling skills.
• Customer service oriented and works well in a team environment.
• Basic working knowledge of Microsoft office programs and ability to type 40 wpm.
• Excellent written and verbal communication skills.
• Ability to handle confrontational situations in a mature and professional manner.
• Minimal clerical experience.
• Knowledge of Workers' Comp and/or General Liability a plus.
Education/Experience
• High school graduate required. College degree preferred.
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