Claims Operations Assistant

Location
Jacksonville, Florida
Salary
Not Specified
Posted
May 25, 2021
Closes
Jul 23, 2021
Ref
6548433#GIJtoGJS.1
Industry
Insurance
Category
Insurance
Career Level
Entry Level

General Purpose of Position:

As the central support position for their department, the Claim Operations Assistant is responsible for coordinating and performing a variety of administrative, operational and quality assurance activities for the Claims team.

Essential Functions and Responsibilities: The following are the usual, basic and essential functions of the position. These functions are not to be construed as an exhaustive list of all responsibilities, duties, and skills required.

  • Triaging daily claim assignments to adjuster staff and preferred service providers based on severity, location and loss detail.

  • Monitor multiple department central email accounts to disseminate emails and upload to the respective claim files.

  • Mange a variety of claim financial processes including the processing and documentation of voided and reissued claim checks as well processing claim payment/expense recoveries.

  • Ability to quickly adapt to altered processes in the event of a catastrophic occurrence and per management direction.

  • Complete expense payments with direction from adjuster staff.

  • Assemble claim file reproductions as requested by adjusting staff and preferred panel counsel.

  • Entry and documentation of classified W-9 information for all companies paid by CPCI in the claim system.

  • Receive and process mail to include scanning mail/documents and uploading them to the claim file.

  • Complete ongoing weekly and monthly projects which involve claim loss coding, gathering of audit documentation, and file research and data field entry.

  • All other job tasks and duties as assigned.

General

  • Promote a culture of personal responsibility, open communications and continuous improvement

  • Ensure fair and ethical policies and practices in all relationships and operations

  • Exhibits leadership experience and skills

  • Exceptional problem solving ability

Qualifications:

To perform this job successfully, an individual must be able to perform each essential function and responsibility 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 job functions.

Requirements:

  • Strong organization, prioritization and multiple-task handling skills.

  • Advanced computer literacy in Word, Excel, PowerPoint, Adobe PDF Writer, Outlook, and the Internet.

  • Ability to learn and perform daily work functions in claims management systems with ease

  • Analytical and quantitative skills.

  • Strong interpersonal and communication skills, both verbally and in writing.

  • Ability to work independently and to use problem solving techniques.

  • Ability to exercise confidentiality and discretion daily.

Certificates or Licenses:

As required by regulatory entities. Relevant professional designations or skill certifications are desirable.

Physical Demands and Work Environment:

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is regularly required to stand; walk; reach with hands and arms and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The noise level in the work environment is usually quiet. The employee may be required to use any or all of the following on a daily basis: PC, telephone, cell phone, scanner, fax, printer and other office equipment.

 

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