Claims Assistant

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist claims personnel and carry out office duties based on the client program.

• Enter and review notes and diaries within the claims management system.

• Make and receive phone calls, arrange medical appointments, and deliver customer service as needed.

• Create and distribute computer-generated reports.

• Establish, assign, reassign, and reopen claims in the claims management system.

• Maintain claim information, including policy details, coverage, loss dates, birth dates, and account data.

• Process letters and other correspondence related to claims.

• Upload and manage claim-related documentation, such as legal files, policy documents, and requests for medical records.

• Handle settlement payments, expense invoices, returned checks, and vendor setup requests.

• Address general emails, phone calls, auditor requests, and inquiries from stakeholders.

• Produce loss runs and various claims-related reports.

• Carry out administrative tasks including mail processing, filing, scanning, faxing, and distributing reports.

• Assist with special projects and undertake other assigned responsibilities.

⛳️ Requirements

• A minimum of six (6) months of clerical or customer service experience, or an equivalent combination of education and experience is required.

• A high school diploma or GED is required.

• Exceptional oral and written communication skills.

• Proficiency in PC usage, including Microsoft Office applications.

• Strong organizational abilities.

• Capability to collaborate effectively in a team setting.

• Ability to meet or surpass Performance Competencies.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance programs.

• Flexible spending or health savings accounts.

• Additional voluntary benefits.

• Work-life balance.

• Supportive company culture.

• Opportunities for career advancement.