Claims Financial Services Specialist (Temporary)

Job Summary

• This position assesses claims and payment information in systems and determines how to handle various types of administrative and financial transactions.
• Following established guidelines, the role identifies and takes appropriate actions to ensure accurate and efficient processing.
• The position coordinates with internal and external stakeholders to reconcile and resolve discrepancies.
• Performs assigned work within prescribed authority and refers cases outside of authority to supervisor.

Essential Job Functions

• Processes a wide range of administrative and financial transactions including subpoenas, file copy requests, medical authorizations, GRP vendor changes and shop assignments, auto-approve payments, general remittance and receipting of incoming funds, invoices and payments, escheated checks, and others.
• Follows established company guidelines and external regulations to identify, evaluate, and take appropriate actions to ensure accurate and efficient processing.
• Interacts with external stakeholders including vendors and banking institutions to fulfill records or check image requests, manage forgeries, and reconcile and resolve discrepancies.
• Documents actions taken in tracking databases and claims systems.
• Applies working knowledge of records management and financial or banking processes to perform assigned work.
• Processes incoming payments and assigns them to appropriate accounts or claim exposures after sorting and batching into applicable systems.
• Reviews and enters invoices by identifying cost centers and coding for general ledger accounts.
• Manages stale claim checks including identifying and tracking potential overpayments.
• Handles payment reissue requests from unclaimed property account.
• Reviews unclaimed property funds before transferring money to the state while identifying payments not owed and reconciling out-of-balance reports.
• Reviews incoming invoices for GRP shop payments, compares them to data in claims systems, and approves or declines payment requests accordingly.
• Ensures deduction of appropriate prior payments from GRP claim payments by monitoring prior payment claims in the claims system.
• Completes GRP vendor changes and system assignments and submits payments on company car losses.
• Coordinates with internal stakeholders to investigate and resolve issues related to checks, invoices, vendor information, and incomplete information in claims systems.
• Supports claims adjusters by researching and processing corrections.
• Uses resources including claims systems, internet searches, vendor and other carrier information to research unidentified payments and determine appropriate allocations.
• Investigates and resolves daily banking and payment issues to reconcile discrepancies or mismatches.
• Addresses helpdesk tickets by coordinating with relevant stakeholders.
• Assists with training new employees and cross-training existing employees within the department.
• Contributes to ongoing review and development of training materials.
• Performs other duties as assigned.

Education Requirements

• High School Diploma or equivalent required.

Experience Requirements

• Minimum one year of clerical, administrative support, or related experience required.
• Claims experience preferred.
• Banking or accounting experience preferred.

Physical Actions

• This role, whether performed virtually or in an office setting, will include normal and customary distractions, noise, and interruptions.
• Sits or stands for extended periods of time, up to a full work shift.
• Occasionally reaches overhead and below the knees, including bending, twisting, pulling, and stooping.
• Occasionally moves, lifts, carries, and places objects and supplies weighing 0-10 pounds without assistance.
• Listens to, interprets, and differentiates auditory information (example others speaking) at normal speaking levels with or without correction.
• Visually verifies and reads information.
• Visually locates material, resources and other objects.
• Ability to continuously operate a computer for extended periods of time, up to a full work shift.
• Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate keyboard and other office equipment up to a full work shift.