Claims Associate II

Essential Duties and Responsibilities include the following. Other duties may be assigned:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·       Review insurance claims forms and related documents (e.g. medical records) for required information.

·       Enter new claims setup information into claims management system (ClaimsXPress).  Maintain existing files in claims management system.

·       Print and prepare outgoing letters and forms on behalf of claims adjusters.

·       Scan and sort incoming daily mail.

·       Pay claim-related expenses when authorized.

·       Handle incoming calls.  Make outgoing calls as specifically required.

·       Assist Claims Support Specialist in distribution of new claims as needed.

·       Execute special projects for adjusters and supervisors as needed, including file research and preparation.

·       Execute temporary and ongoing special projects for clients , including client requests for dedicated assistance and accessing clients systems in order to process payments or carry out other clerical work.

The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications /Required Education and Experience

• High School diploma or equivalent is required.  Experience working in claims, or an equivalent combination of training, educations and experience., is preferred.

• Strong attention to detail, excellent communication skills required, proficiency in using policy management software a plus

• Excellent organizational skills and time management skills to handle multiple tasks efficiently

• Ability to build and maintain positive relationships with clients and colleagues.

• Results driven and customer focus

• Good verbal and written communication skills, as well as interpersonal skills are needed.

• Ability to read and interpret documents

• Basic computer skills are required, experience with Microsoft Word, Excel and Outlook preferred.  

• Ability to read and interpret documents such as general business periodicals, general ledgers, and procedural manuals. Ability to respond to inquiry or complaints.  Ability to write routine reports and business correspondence.  Ability to effectively present information in one-on-one situations.  

• Ability to solve problems and deal with situations where limited standardization exists.  Ability to calculate figures/amounts such as discounts, interest, proportions and percentages.  

Position Type/Expected Hours of Work

This is a full-time position. Standard business hours of operations are - Monday through Friday, 8:30 a.m. to 5 p.m.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.

Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.  California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant.
 

To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure’s property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure’s Human Resources Talent Department.