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Claims Processor
2 months ago
This is an entry level position within the claims operation, supporting claims personnel in all disciplines. Performs duties that ensure compliance with government regulations, processes paperwork, issues payments, may answer incoming phone calls and make outbound calls to customers and vendors. Enters data into various systems. Processes financial transactions and DMV documents. Performs all duties under general supervision.
Job Duties
- Answer and handle telephone inquiries and make outbound calls to customers and vendors. For complex issues transfer calls to the appropriate party for handling. Respond to incoming mail inquiries and may receive and assist direct visitors.
- Issue payments, collect and process salvage proceeds, checks, DMV refunds and documents, subrogation payments and miscellaneous reimbursements and fees in the appropriate systems. Enter information or notes in the appropriate systems.
- Update and maintain records which may include databases or other computer records. Prepare moderately complex reports and spreadsheets which may include information of a confidential or technical nature.
- Communicate with co-workers, claims service representatives, vendors, insureds and other agencies regarding claims.
- Perform bookkeeping tasks which could include daily reconciliation, expense reports and tracking of payment and invoices. Record and submit monthly Branch Office check disbursement reports. Balance cash drawer and prepare daily bank deposits.
- May perform administrative duties to support the department. May schedule appointments and reserve facilities. Duties may include issues relating to facilities, employees, supplies and safety.
- Majority of decisions are based on established procedures and company requirements. Occasionally independent judgment must be used to resolve issues with customers, buyers and vendors.
Qualifications
- High School GED
- 1-3 years Claims operations/systems processing
- Must be comfortable handling money transactions
- Moderate skill in using Microsoft Office products required
- Moderate verbal, telephone and written communication skills required
- Moderate knowledge of computers and inside cashiering system necessary
- Good typing skills essential
- Requires ability to prioritize and multi-task, while maintaining a high level of detail and accuracy
- Good interpersonal skills required
Scope
- Work is accomplished with moderate supervision. Follows established and detailed directions. Work is reviewed for accuracy and overall adequacy.
- Provides resolution to an assortment of problems that are typically well defined, but some clarification or judgment is required to determine action, as additional information about the problem/task is discovered. Uses judgment within defined practices/procedures to determine appropriate action. Problem/Task resolution timeframe: Inclusive of shorter timeframes, but the majority of tasks take up to several weeks to resolve.
- Under general supervision, proceeds alone for regular duties, referring questionable cases to supervisor.
- Individual Contributor
- Failure to achieve results or erroneous judgments may require the allocation of additional resources to correct and/or achieve goals.
- Contacts are primarily within the department or function with occasional cross-functional interfaces. Some limited external customer contact on routine matters.
Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plan with company match AND Pension
• Tuition assistance
• PTO for community volunteer programs
• Wellness program
• Employee discounts (membership, insurance, travel, entertainment, services and more)
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer