Claims Clerk Ii Job Description Sample
Claims Clerk II
Screen, code and key claims in claims system.
Review claims for services. Typical office environment.
Strong keyboarding skills.
Detail-oriented. Strong analytical and organizational skills. Strong verbal and written communication skills.
Knowledge of medical and/or dental coding. Education: High School Diploma or equivalent Work Experience: 2 years of experience in a claims operations environment to include data entry experience.
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Claims Clerk II
Excellence In Everything We Touch Position Summary Under direct supervision, performs a variety of claim clerical support duties for the Claim Department Responsibilities
Receives and matches mail to the appropriate claim file through the various Service Center or Claim Office data systems.
Creates claim file by inputting initial loss report information into the various data systems; completes and distributes paper file to the appropriate claim area.
Types a variety of material such as letters, reports, form letters, or memorandums from handwritten copy, typed copy or transcribing equipment by use of a typewriter, personal computer, word processor or an automated system.
Proofreads work for accuracy; distributes all letters and memorandums for proper signatures before mailing.
Performs a variety of clerical duties such as answering telephones, taking messages, and sorting and filing mail and correspondence, and data entry.
Determines proper file and claim number on unidentified claim correspondence by use of the various Service Center or Claim Office data systems.
Responds to insureds and agents to complete general loss report information and may respond to the more routine claim questions from insureds and agents.
Contacts agents and insureds on routine claims to obtain coverage information or to clarify coverage information supplied on a loss report.
Removes System form letters from printer and distributes to sender for signature before mailing.
Operates equipment such as copiers; obtains and distributes copies as requested.
Prepares outgoing mail which includes the sorting and stuffing of envelopes.
May assist in operating the check signing machine and in posting and distributing of claim checks issued.
Assists in maintaining office supplies and forms; completes requisitions and orders supplies as needed.
Assists in updating claim manuals.
May assist in typing and processing payments for approved billings and expenses.
Keeps supervisor informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to supervisor for direction.
Performs other related duties as required or requested. Requirements
Education equivalent to graduation from high school supplemented by courses in typing and personal computer skills or the equivalent in related work experience.
Nine or more months experience as a Claim Clerk or the equivalent demonstrating a basic knowledge of computer entry and operations.
Demonstrates good working knowledge of Claim processing and of Claim policies and procedures. About Us Broadspire (), a leading international third party administrator, provides risk management solutions designed to help clients improve their financial results. Broadspire offers casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics. As a Crawford Company, Broadspire is based Atlanta, Ga., with 85 locations throughout the United States. Services are offered by Crawford & Company under the Broadspire brand in Europe (), including the United Kingdom (). In addition to a competitive salary, Crawford offers you:
Career advancementpotential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries;
On-going trainingopportunities through every stage of your career
Strong benefits packageincluding matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more. Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. Requisition ID2017-2512 CategoryClaims Business UnitBroadspire
Claims Clerk II
- 90 years of industry experience
- The largest organization of its industry in the United States
- Comprehensive Compensation and Benefits Package
- Dynamic and results-oriented Human Resource Team
- Company culture focuses on providing tools to help employees shape their careers and reach their fullest potential.
- Minimum 2-4 years of general office background
- Collect, sort, code, and route department mail
- Scan large volumes of claims department mail (300-400 per day) and process into workflow for several regional offices
- Daily indexing by typing codes into Outlook email
- Process large volumesof emails and documents across multiple regions
- Process claim payments
- New claim file intake and set up
- Completing first reports of injury and forwarding to appropriate recipients
Benefits & Features:
Your Role with the Company:
Seeking a Claims Clerk to provide administrative support for claims managers and administer to document management workflow and medical bill payment tasks.
For immediate consideration, APPLY NOW by emailing your resume in Microsoft Word format toMarykate@hr-finders.com
Warranty Claims Clerk
MPP Company, as a leader in the industry, provides a comprehensive selection of extended warranty services and other automotive protection plans designed to give our customers the best buying and ownership experience. We provide vehicle service contracts (frequesntly referred to as extended warranties), maintenance contracts, paintless dent repair, lease wear coverage and more.
Receive documents in from dealers and customers
Check email folders on a regular basis for incoming documents to import into scanning software
Index documents to the correct department for processing
Contact customers / dealerships concerning payable issues
Other duties may be assigned
Strong keyboard skills including 10 key
Minimum high school diploma or GED equivalent required
Excellent customer service skills, underwriting background a plus
Ability to be analytical and multi-task
Ability to work with little supervision
Self-motivated, enthusiastic presence in a team environment
Strong written and communication skills
Working knowledge of Microsoft Office
Consistent and stable work history
Valid driver's license and clean driving record
Professional appearance and work ethic
- All potential employees must pass pre-employment testing to include a background check and drug screen. BENEFITS:
Competitive earning and overtime potential
Fast paced work environment
Paid training and development
Career growth opportunities with management potential
Medical and dental coverage available 2 month period
401(k) Company location: 8500 Shawnee Mission Parkway Merriam, KS 66202 Compensation: $14 - 15/ HR External Company Name: Berkshire Hathaway Automotive External Company URL: www.vantuylgroup.com
Provider Claims Clerk - Eau Claire, WI
We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Grow your career with an industry leader!
We have training classes starting soon. Apply now! You’re looking for something bigger for your career.
You’re looking for a place where you will be empowered to be your best. When you join UnitedHealthcare, you’ll be part of a team committed to reshaping the way health care works for millions. You’ll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service.
You won’t just provide customer service; you’ll change health care for the better starting with every health care provider you talk to. Your commitment to supporting them will directly translate into better care for their patients. And you’ll be well supported with the latest tools and advanced training classes to set you up for success.
Don’t wait to join us! There’s never been a better time than now to start doing your life’s best work. When you join our team as a Providers Claims Clerk, you’ll be responsible for supporting the intake of Provider claims reconsideration requests through researching the type of request, claims history, and accurately routing to the correct adjustment department for completion.
The position will be based out of our Eau Claire, WI office. Primary
Ensure all adjustment requests are entering into the system within required timeframes to meet performance guarantees Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements Identify issue trends affecting multiple areas and escalate to appropriate partners Participate in individual coaching sessions as requested by management Attend group training sessions as requested by management Provide expertise or general claims support by reviewing, researching, investigating, and entering all types of reconsideration requests Analyze and identify trends and report as necessary Consistently meet established productivity, schedule adherence, and quality standards Works independently May act as a resource for others or back up for SME May be a resource for new hires May work complex special projects
High School Diploma / GED Able to type minimum 40 WPM and 10-Key of 10K or better Previous data entry experience Experience using a computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs Experience using Microsoft Word (create, update, and format documents) and Microsoft Excel (create, update spreadsheets, pivot tables, and sort data) Monday
Friday 8-hour shift between 6:00am
6:00pm with weekends and overtime based on business needs Careers at UnitedHealthcare Community & State. Challenge brings out the best in us.
It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV/AIDS and High-risk Pregnancy.
Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most.
This is the place to do your life’s best work. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: claims, medical claims, healthcare claims, claims processing, claims processor; office, UnitedHealth Group, UnitedHealthcare, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support 9e39a06c-9271-4842-a6e4-80141161e400 *Provider Claims Clerk
Eau Claire, WI* Wisconsin-Eau Claire738152
Take advantage of a competitive salary and be a Claims Clerk with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Claims Clerk who can provide a high level of service and attention to their customers. If you are a Claims Clerk and you meet the qualifications listed below, please click apply below for consideration
This Claims Clerk will be responsible timely and accurate sorting, screening and batching of all Medicaid claim forms, as well as coding of third party payer; and Medicare Crossover if required by state contract
- Opens and sorts all incoming mail.
- Screens medical claim forms for pertinent information.
- Batches medical claim forms by claim type.
- Completes Code Sheets for Third Party Liability and/or Medicare Crossover claims.
- Prepares, for mailing, Return to Provider (RTP) letters for returning claims with missing information required to enter into the claims payment system.
- Prepares Remittance Advices weekly for mailing to providers.
- Meets established production and quality standards.
- Supports all departmental initiatives in improving overall efficiency.
- High School Diploma or GED Required
- 2-4 years of relevant experience
- Ability to lift up to 50 lbs
- Computer Proficient: Basic knowledge of MS office, outlook
- Competitive salary: Up to $16.50 per hour (depending on experience)
- Benefits offered, Medical, Dental, and Vision
- Growth Opportunity
- Fun and positive work environment
If you are interested in being considered for the Claims Clerk position, please click the Apply button below, or e-mail us directly:
Medical Claims Clerk
Our client, a Global insurance firm is seeking a claims processor and they are looking to hire asap! This role is 9-5 Monday through Friday, and the starting salary is 39K annually, with stellar benefits, including 4 weeks of vacation!! The company is based in
In this role you will review, process and enter incoming new provider claims (domestic and foreign) for all customer groups. Answer phone calls related to the status of provider claims in the payment process.
-Adjudicate and process new incoming medical claims (foreign and domestic) received via mail, fax and/or email, according to customer policy conditions
-Review and enter claims processed by the PPO network for accuracy and authorization
-Answer phone calls from providers related to the status of claims
-Follow-up on pending invoices
-Other ad-hoc administrative activities, as needed
-Professional business writing & communication skills
-Strong computer skills including working knowledge of Microsoft Office, with a focus on Word, Excel and Outlook.
-Problem solving skills and deductive reasoning are necessary
-Minimum typing speed of 50 words per minute
-Bilingual Spanish (speaking and writing) is a plus
Associates degree or higher, or equivalent experience
-Prior work in an office environment
-Prior healthcare experience working with medical billing or coding, claims processor or insurance biller
Claims Department Clerk For Busy Manufacturing Office In Maysville, KY
Claims Department Clerk
Duties Include but not limited to:
Talking with Customers
Must have a professional appearance
Must have good computer skills
Microsoft Word and Excel a plus
Must have accounting skills
Schedule is Monday - Friday 8 AM - 5 PM
Please stop by our office or send your resume'!
535 North Shawnee Road
Maysville, KY 41056
Entry Level - Claims Clerk
Are you looking to get your career started in insurance? We are looking for a full time Life Claims Clerk. This entry level position is responsible for typing labels, reviewing, sorting, and mailing letters in a timely manner.
Review, sort, and mail letters
Type labels accurately and efficiently
Perform data entry
Additional duties as assigned
Qualifications and Experience:
High School diploma or equivalent required.
1+ years of general work experience.
Possess good verbal communication and report writing skills; above average written communication.
Good typing and keying skills.
Our employees enjoy great benefits:
Qualify for your choice of health and dental plans within your first month.
Save for your future with robust 401(k) match, Health Spending Accounts and various retirement plans.
Learn and Grow with our Tuition Assistance Program, paid certifications and continuing education programs.
Contribute to your community through United Way and volunteer programs.
Balance your life with generous paid time off and business casual dress.
Protect what you love with discounts on home and auto insurance products.
Get employee discounts for shopping, dining and travel through Kemper Perks.
Kemper at a glance
With $8 billion in assets, Kemper is one of the nation's leading insurers. The Kemper family of companies specializes in home, auto, life, health and valuables insurance products for individuals, families and businesses.
Kempers underwriting companies* are rated A- (Excellent) by A.M. Best Company, the leading insurance industry rating authority. Kemper services six million policies and ranks among the top 25 personal lines property and casualty writers and the 2016 Wards 50 Top Performers list of life insurance companies.
*Alliance United Insurance Company is not rated.
We value diversity and strive to be an employer of choice. An Equal Opportunity Employer, M/F/D/V
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