Claims Assistant

4 weeks ago


Sewickley, United States Intercare Holdings Insurance Services, Inc. Full time

Job Type

Full-time

Description

Summary:

Classifies, stores, inputs, retrieves, and updates generated information by performing the following duties.

Essential Duties and Responsibilities:

  • Sets up claim files and completed all necessary reporting.
  • Completes National Practitioner Data Bank reports & State specific reports on claims
  • Maintains incident records and sends incident acknowledgment letters.
  • Inserts data on electronic file records and keeps files current.
  • Takes loss reports from clients over the phone and provides basic claim handling information.
  • Retrieves material for qualified personnel upon request.
  • Reviews invoices as directed and in accordance with established Litigation Guidelines and matrices.
  • Uploads invoices to the claim system in accordance with established procedures
  • Updates claim files with information from the client as directed.
  • Monitors outlook shared boxes and assigned Trideo dashboard according to established procedures.
  • Other duties as requested.
Competency:

To perform the job successfully, an individual should demonstrate the following competencies:
  • Design - Demonstrates attention to detail.
  • Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values.
  • Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
  • Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.


Requirements

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, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

Computer experience; Word, Excel.

Language Skills:

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.