Claims Assistant

To provide support to the claims staff and to perform other office tasks depending on the client program.

• Inputs and reviews notes/diaries in claims management system as instructed.
• Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.
• Other activities/projects as assigned including the preparation and distribution of computer reports.
• Set up, assign, reassign, and reopen claims within the claims management system.
• Maintain claim data, including policy, coverage, date of loss (DOL), date of birth (DOB), and account information.
• Process letters, along with other claim-related correspondence.
• Upload and manage claim documentation, including legal files, policy documents, and medical records requests.
• Process settlement payments, expense invoices, returned checks, and vendor setup requests.
• Respond to general emails, phone calls, auditor requests, and other stakeholder inquiries.
• Generate reports, including loss runs and other claims-related reporting.
• Review and enter claim notes, diaries, and other information into the claims management system.
• Perform general administrative duties including mail processing, filing, scanning, faxing, and report distribution.
• Support special projects and other duties as assigned.
• Performs other duties as assigned.