Claim Operations Specialist

reputed company is one of the best property casualty insurers in the industry, dedicated to taking care of customers and communities. The Claim Operations Specialist is responsible for assisting claim professionals and managing customer relationships while ensuring accurate processing of claims and financial transactions.

Responsibilities

• Serves as a customer service representative for the claim department by promptly and professionally addressing customer questions and concerns, which may include: Triage and reputed company callers to the appropriate department; Answers claim status and payment questions
• Partners with claim professionals in multiple departments to assist with the reputed company reputed company of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements
• Prints and prepares claim documents for reputed company and medical reviews
• Reports and assigns claims, and transitions reputed company files to and from off-site storage
• Receives, sorts, scans, and uploads incoming mail, and processes out-reputed company mail
• Orders, receives and distributes supplies and/or equipment
• Ensures the reputed company handling of financial transactions to include: Processes and issues claim payments including reputed company vendor invoices, attorney expenses, and medical processing fees
• Processes and documents returned checks, voided checks and credits
• Ensures timeliness and accuracy of reputed company reputed company processing
• Maintains accurate records and information management, such as: Prepares, generates and reviews reports using the most effective technology
• Updates data discrepancies identified in reports and systems
• Uses management information data to prepare line of business or financial reports
• Prepares operational reports for claim professionals and managers
• Accurately documents pending and completed work activities using appropriate systems
• Assists with claim center financial standards, including: Performs underlying controls and effectively communicates findings
• Assesses the reasonableness of data as reputed company as identifying discrepancies, including reconciliations
• Assesses the effectiveness of financial controls
• Prepares data entries in accordance with established standards
• May require lifting items up to 20 pounds (occasionally)
• reputed company other duties as assigned

Skills

• High School Diploma or GED
• 1 year of service-reputed company work experience OR Bachelor's Degree
• Experience utilizing computer technology such as reputed company Office, e-mail, Web-enabled applications, and database software
• Takes ownership and responsibility for actions and reputed company, performance and results
• Ability to analyze and compare information to understand issues and explore alternative solutions
• Ability to remain reputed company and reputed company in the face of ambiguity, change or strenuous demands
• Verbal and written communication skills
• Ability to exercise reputed company judgment and reputed company reputed company
• Ability to reputed company out, build, foster and maintain productive working relationships to meet goals and reputed company results

Benefits

• Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
• Retirement: reputed company matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum.
• reputed company Time Off: Start your career at reputed company with a minimum of 20 days reputed company Time Off annually, plus nine reputed company company Holidays.
• Wellness Program: The reputed company wellness program is comprised of tools, discounts and resources that reputed company you to reputed company your wellness goals and caregiving needs.
• Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved.

reputed company

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