Job Summary

The Claims Administrative Assistant is responsible for the administrative functions and processes related to the day-to-day operations of the Claims Department. This position also includes working closely with Claim Examiners on queue work tasks and Claims Management on general administrative assignments as directed.

Primary Responsibilities

• Process and index documents within a document management system and handle all incoming mail to the Claims Department
• Handle daily tasks assigned in work queues, such as ordering medical records or processing claim examiner requests for information
• Generate letters within letter writing systems, distribute claim correspondence off printers periodically throughout the day and handle all other administrative claim correspondence tasks
• Process all administrative fees relating to the Claims Department
• Reconcile monthly billings for medical record vendor fees
• Maintain rescission log and provide monthly reporting to management
• Provide periodic back-up assistance as needed for front desk operator
• Initiate/receive telephone calls to/from medical facilities, third-party vendors, and as needed within department and/or company staff members
• Process requests for information, including requests for duplicate claim file documents and miscellaneous administrative tasks for all product lines
• Administer Wellness Claims and perform data entry utilizing multiple claim systems
• Assist on projects, and assist other team members when necessary
• Handle general administrative responsibilities including, but not limited to: ordering supplies as necessary; maintaining cartridges for fax/copy/printer; notifying maintenance when confidential document repository is full; assigning lounge duty for the department

Qualifications

• High School diploma required; some college a plus
• Prior insurance industry preferred
• Ability to multi-task and effectively meet deadlines
• Ability to work independently and as a team player
• Flexible and adaptable to change & using multiple systems
• Highly motivated and organized
• Attention to detail – proofreading and editing
• Excellent written and verbal communication skills
• Proficiency in Microsoft Office programs (Word, Outlook, Excel and Internet
• Ability to maintain confidentiality and adhere to privacy standards
• Ability to learn systems processes and procedures quickly
• Display professionalism at all times