Sr. Claims Processing Assistant

Finance Bala Cynwyd, Pennsylvania


Description

Position & Responsibilities:

  • Oversees the workflow of the transcription unit for the Claims Department
  • Utilizes Image Right to query Wins and Image Right to verify new claim information
  • Manages Image Right processing flow regarding new claim tasks at all steps
  • Generates form letters when required
  • Enters claim information into the claims systems on set ups
  • Processes the payments for the MJM vendor.
  • Responds to telephone inquiries regarding receipt of new claims
  • Maintains tables and lists as requested
  • Updates Image Right with claim documents when needed
  • Requests underwriting files when not available on Image Right
  • Reports any workflow issues within the unit to the Claims Operations Manager
  • Helps design and manage workflows of the claim processing process
  • Participates in claims systems testing projects
  • Oversees the functions of the claim processing process to efficiently achieve desired goals
  • Works independently with little supervision.
  • Completes special requests, and other tasks as requested.
  • Commitment to Global Indemnity as a service-oriented company.

Requirements & Qualifications:

  • Complete understanding of Claims Department support procedures and systems.
  • Must be cross-trained to perform other claims support functions and have excellent organizational skills.
  • Requires good interpersonal skills.
  • Ability to answer routine claims department questions within the authority and scope of the position.
  • Ability to communicate with company personnel as well as the general public, in a professional manner.
  • Ability to communicate well with co-workers in maintaining a positive work environment.
  • Must have strong computer skills with a knowledge of Windows operating systems plus Word, Excel and ImageRight,
  • Must be able to perform more advanced input operations, claims processing, data entry,  track and correct errors
  • Must be able to effectively learn and understand insurance terminology.
  • High school or equivalent diploma required
  • Business school certifications or designations are a plus.
  • Must demonstrate a willingness to enhance job knowledge and insurance education.
  • The ability to work remotely as required via a personal computer and the company’s Virtual Private Network (VPN) software