What are the responsibilities and job description for the Claim Operations Administrative Associate position at System One?
Title: Claim Operations Administrative Associate
ALTA is supporting a contract-to-hire opportunity working 100% remote.
The hiring managers would prefer candidates who are located in the Eastern or Central Time Zones. 3-month contract-to-hire.
Our client is currently seeking a Claim Operations Administrative Associate to support our growing Claim Operations department. This is a work from home opportunity for candidates available to work a schedule of 8:00 a.m. to 4:30 p.m. Eastern Time / 7:00 a.m. to 3:30 p.m. Central Time, Monday-Friday. Required candidate location is within the Eastern Time Zone or Central Time Zone. This is a temporary contract assignment of 3 months depending on business needs. Equipment will be supplied by the company.
ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.
Responsibilities:
- Demonstrates beginner to intermediate knowledge of the claims operations and the ability to identify and enter missing claims data, set up new claims, and complete simple forms with some guidance.
- Expands upon and employs problem-solving skills and learns the investigative methods needed to actively seek information required to resolve inquiries and issues.
- Learns to identify discrepancies in information gathered.
- Refers non-routine/complex issues to manager or more experienced staff.
- Becomes familiar with and utilizes multiple computer systems for policy analysis, claim management, data management, reporting, and productivity.
- Learns to utilize ClaimConnect, ClaimCenter, OpsNow, Maven, Outlook, and FNOL to track workload, finalize claims, manage activities, confirm claim information, and remain organized and timely.
- Executes basic claim setup and entry, coverage verification, and financial transactions.
- May assist with and/or create general correspondence.
- Maintains a professional demeanor in all situations.
- Performs all other duties and tasks as assigned.
- Works productively under close supervision; relies on instructions and pre-established guidelines to perform the functions of the job
Education, Experience, Location and Availability:
- High school diploma is required
- Related claims set up, claims processing or claims operations support experience is required
- Workers' compensation or liability experience is a plus
- Location within the Eastern Time Zone or Central Time Zone is required
- Must be available to work hours of 8:00 a.m. to 4:30 p.m. Eastern Time / 7:00 a.m. to 3:30 p.m. Central Time, Monday-Friday
Additional Skills and Competencies:
- Excellent communication skills in both written and verbal form is required
- Must be able to work with accuracy and speed with a variety of internal and external contacts
- Must be self-motivated as this is a work-from-home position
