Claims Assistant - Claims Management

Description

As a Claims Assistant for a Third-Party Administrator (TPA), you will provide administrative and clerical support to the claims department. This role involves assisting in the processing, evaluation, and documentation of insurance claims, ensuring that claims are handled efficiently and in compliance with relevant policies. You will work closely with claims adjusters, managers, clients, and claimants to ensure that claims are processed accurately and timely.

Job Responsibilities:

• Assist      with intake and processing claims, including gathering and reviewing      documentation.
• Input      and update claims data into the claims management system.
• Organize      and maintain claims files
• Communicate      with policyholders, claimants, and other stakeholders 
• Answer      inquiries, provide explanation of claim processes, assist in resolving      issues.
• Generate      claims reports for client and management review.
• Maintain      claims files to ensure documents are stored in accordance with company      policies.
• Provide      general administrative support to the claims team.
• Annual      16 hours approved education 

Education and Work Experience:

• Associate      degree or equivalent experience in insurance or claims preferred.
• Experience      in insurance claims processing or a related field with customer service is      preferred. 
• Experience      with claims management software or other industry-specific tools is      preferred.

Knowledge Skills and Abilities:

• Detail-oriented      with the ability to effectively handle multiple tasks.
• Excellent      written and verbal communication skills.
• Proficient      in Microsoft Office Suite (Word, Excel, Outlook). 
• Strong      organizational and time-management skills in a fast-paced environment.
• Ability      to analyze situations, identify issues, and provide solutions when      necessary.

Typical Physical Demands:

· Requires the ability to sit or stand for long periods of time, occasional stooping, and reaching; May require lifting-up to 25 pounds; requires normal range of vision and hearing with or without accommodations.