SUMMARY:

Primarily responsible for supporting the management of the claim files by analyzing, indexing, re-indexing, and assigning a sub document type to all documents received by the Claims Departments within the Enterprise. Also responsible for identifying key information on documents and inputting information into the keywords of the document and in the appropriate data fields in the claim system. Acts as a back up to the claims intake process.

PRIMARY RESPONSIBILITIES:

EMPLOYMENT QUALIFICATIONS:

High school diploma or G.E.D required with additional training or college-level course work in business or insurance. Combinations of education and experience may be considered in lieu of additional training or coursework.

Minimum two years general office experience that includes previous relevant experience reviewing and providing specific document types to scanned images.

• Excellent verbal and written communication skills.
• Excellent customer service skills.
• Basic knowledge of computers and spreadsheet software.
• Basic knowledge of word processing software.
• Ability to proofread correspondence for accuracy of spelling, grammar, punctuation, and format.
• Ability to work effectively with various business units.
• Ability to be an independent thinker to solve issues.
• Ability to manage multiple priorities and meet established deadlines.
• Excellent organizational skills and ability to prioritize work.
• Ability to verify data for accuracy.
• Knowledge of medical terminology.
• Knowledge of legal terminology.
• Ability to train and coach others to perform the core responsibilities.
• Ability to assist with the creation of procedural documentation and workflows.
• Knowledge of multi-functional telephone system.
• Ability to multi-task i.e. interacts on telephone while entering data
  

• Previous experience in the workers’ compensation field.
• Previous experience with medical records, medical terminology and administrative support.
• Experience working with scanned images/document management system.
• Experience with state/legal documents.
• Insurance Institute of America (IIA) Certification Experience in Workers’ Compensation Claims Processing.

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

REQUIRED TESTING:

Basic Windows, Basic Excel, Basic Word, proofreading, Alpha Numeric