What are the responsibilities and job description for the Claims Solutions Accounts Receivable Support Associate position at EMC Insurance?
At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
Essential Functions :
- Completes Electronic Data Interchange (EDI) filings.
- Researches and assists adjusters with coding issues.
- Serves as a liaison between claims adjusters and state government to determine filing requirements.
- Ensures compliance standards are followed in state filing requirements.
- Maintains accuracy in reporting to meet individual states' requirements.
- Receives claims reports via phone, email and fax.
- Enters claims into Filehandler Claims System and CLMS.
- Provides general assistance to clients when reporting new claims.
- Posts check deposits, ACH transactions, refunds and recoveries for clients in Filehandler Claims System, Workday and CLMS.
- Enter weekly sweep requests.
- Processes returned ACH transactions and void transactions within CLMS and FHE.
- Ensures all documents and files have been stored securely per EMC compliance regulations.
- Trains team members on EDI filings.
- Completes special projects, such as updating reporting systems with current claim coding or transition / integration of new EDI states.
- Completes requests from adjusters, such as finding faxes, mailing letters or printing labels.
- Maintains ERS team phone list, organizational chart and emergency planning staff list, orders supplies, promotional items and equipment for the company, with other organizational and administrative duties as assigned.
- Opens, scans and indexes incoming mail to claims files in multiple systems.
- Retrieves and sends faxes from servers and indexes faxes to claim files in Filehandler Claims System and CLMS.
- Answers 800 claims line and relays messages.
Education & Experience :
Knowledge, Skills & Abilities :
Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.
