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Claims Processing Associate

2 months ago

Austin, Texas, United States CAPPS, Inc. Full time
Job Overview

GENERAL OVERVIEW

CAPPS, Inc. is a progressive and inclusive organization seeking an entry-level Claims Processing Associate. This role involves assisting in the initiation of workers' compensation claim documentation by managing incoming correspondence. Key responsibilities include basic data entry tasks, receiving, categorizing, and distributing mail to various internal teams, digitizing documents, and other duties associated with the establishment of workers' compensation claim files. This position offers a valuable opportunity to understand the processes and documentation involved in managing workers' compensation claims. It is an entry-level administrative support role within the Intake Management division, requiring effective communication in a standard office setting.

CAPPS, Inc. is dedicated to serving the public by providing support to various state entities with their workers' compensation claims, insurance, and risk management initiatives. Our unique culture values communication, creativity, and analytical thinking. We seek results-driven, inquisitive, innovative, and adaptable individuals who are committed to helping our clients and colleagues succeed. CAPPS, Inc. continuously aims to enhance its expertise and service by recruiting talented individuals whose goals align with the organization's vision.

As a member of our team, you will automatically be enrolled in the company's retirement plan and will have access to additional health insurance benefits.

KEY RESPONSIBILITIES
  • Collect mail from designated locations multiple times daily.
  • Open, date stamp, and categorize incoming mail based on urgency.
  • Sort and distribute incoming mail to departmental bins promptly and according to established procedures.
  • Copy essential documents and resize small pages for digitization.
  • Log the receipt of checks and cash, delivering them to the Financial Management team.
  • Maintain and review logs for incoming certified mail.
  • Record the volume of return mail and certified/overnight mail received.
  • Process outgoing certified mail by entering recipient details into the mailing log and generating shipping labels for overnight deliveries.
  • Deliver outgoing certified mail and overnight packages according to established protocols.
  • Import pre-authorization images and recorded statements into the document management system.
  • Prepare, categorize, and digitize documents and medical invoices for storage.
  • Create bar code sheets for both priority and non-priority documents by entering data into the Claims Management System (CMS) for tracking purposes.
  • Conduct quality assurance checks on digitized documents by reviewing and editing them before storage and distribution.
  • Provide backup support to the Receptionist as needed.
  • Prepare clean claim reviews of medical invoices by generating bar code sheets and entering data into the CMS for tracking compliance with relevant regulations.
  • Deliver exceptional customer service.
  • Perform related tasks as assigned.
  • Maintain up-to-date knowledge necessary for performing essential job functions.
  • Attend work regularly in accordance with the agreed-upon schedule.
  • Ensure the security and confidentiality of sensitive information.
  • Adhere to all organizational policies and procedures, including those related to ethics and integrity.
Qualifications:

MINIMUM REQUIREMENTS
  • Education: High school diploma or equivalent.
  • At least 18 months of full-time experience in a general office, clerical, or closely related field; may substitute college credit for experience.
  • Familiarity with general office practices and procedures.
  • Understanding of organizational dynamics, including accountability.
  • Ability to work effectively under pressure and meet deadlines.
  • Strong organizational skills.
  • Proficient in both long-term and short-term planning.
  • Competent in using computers for word processing and data entry/retrieval.
  • Skilled in providing customer service.
  • Adept at gathering and analyzing relevant information.
  • Effective oral and written communication skills [Writing sample may be requested during the interview process].
  • Ability to accept and respond positively to constructive feedback.
  • Capacity to collaborate with others in a professional office environment.
  • Ability to provide outstanding customer service.
  • Willingness to work beyond 40 hours as necessary and in compliance with applicable regulations.
  • Availability to work Monday through Friday, 8 a.m. - 5 p.m.
  • Ability to lift and move up to 30 lbs.
PREFERRED QUALIFICATIONS
  • Graduation from an accredited four-year college or university with a Bachelor's degree.
APPLICATION PROCESS

To apply for a position with CAPPS, Inc., electronic applications can be submitted through the designated recruitment platform. A completed application is required for consideration, and paper applications are not accepted. Your application may be subject to a background check as per organizational policy.

CAPPS, INC. IS AN EQUAL OPPORTUNITY EMPLOYER