Claims Assistant

Job Summary:

Provides administrative and operational assistance to the various claim department units which include operational support to the adjusters and supervisors, generating supervisory reports, First Notice of Loss, review, index and pay attorney bills, medical and other. Prepares claims data for corporate 1099 reporting, BWH, IRS mis-match review & correction, performing functions necessary to support the claims division on a day to day basis. Operates computer, typewriter and transcribing software and foot pedal to transcribe statements, letters, or other recorded data.

Duties:

General Support and Training

• Serve as a resource to all division personnel and provides training on payment coding when applicable and processing as appropriate.
• Relieve receptionist as needed.
• Cross-trained to provide coverage in other areas of the Operations Unit.

Claims Processing and Coordination

• Confirm coverage and enter new WC claims in the claims system, enter claim information into the ISO database via the internet for Casualty, PIP, and WC lines of business and prepare and mail HIPAA forms.
• Request policy coverage status from underwriting for new WC claims without a current policy; enter NP claims in log when appropriate.
• Coordinate and advise the proper supervisor/adjusters on identified problems/discrepancies.
• Create and mail PIP applications, HIPPA forms, and report/enter injury information in the ISO database via the internet.
• Investigate, track, prepare letters to vendors, and monitor duplicate payments.

Financial Management and Reporting

• Produce confidential statistical data in spreadsheet format and compile in specified daily, weekly, and monthly production reports (caseload, diaries, late reserves, delinquent tasks, open claims without a diary, etc.) utilizing systems and other available production and tracking tools.
• Produce and balance the daily production and tracking reports vs. the claims income spreadsheet.
• Process in accounting software, management-approved ‘manual’ drafts, record and notify Accounting, ensure that the manual draft is posted by the adjuster in the claims system.
• Process computer payments for all units including special vendor levy transactions in the claims system, notifying the responsible unit when there are discrepancies. Also included HPIA claims.
• Prepare envelopes, mailing labels, certified mail forms, and return receipts for regular mail or special handling mail.

Communication and Correspondence

• Compose basic letters to insureds for various situations including explaining deductible credits.
• Use a transcribing machine to transcribe recorded statements.
• Coordinate transcriptions sent to a vendor.
• Research, copy, and notify the appropriate persons of the receipt of a subpoena. Update the applicable records spreadsheet.
• Research bankruptcy notices. Update the applicable records spreadsheet. Notify the appropriate adjuster.

Data Entry and Systems Management

• Import CD data to ImageRight.
• Make duplicate copies of CDs as requested.
• Possess the knowledge of converting file extensions to other required formats.
• Properly document one’s actions in the claims system when required as documented in the Claim Assistants’ procedures.
• Request W9s or W8s when applicable, enter/update the claims system, file documents, and maintain W9 folders.
• Ensure that the W9 / W8 is thoroughly completed by the vendor and entered into the claims system to be in compliance with Internal Revenue requirements.
• Research DCCA website before calling vendors on oddities. Research, resolve and assist Accounting Department with 1099 discrepancies.

Qualifications:

• High school diploma or general education degree (GED) required; and 1 year certificate from college or technical school preferred.
• Minimum 6 months related work experience and/or training in property, casualty or workers comp insurance.
• Equivalent combination of education and job-related experience will be considered.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Honolulu, HI 96813 (Required)

Work Location: In person

Salary : $18 - $23