Temp Claims Processor

Allied Solutions - Plano, TX (30+ days ago)3.4


Job Duties and Responsibilities
Processing of claim documents and inquiries related to insurance claims for multiple lines of business to authority levels of $2500-$3500
Handling telephone inquiries from clients and internal associates
ACH, Check, and draft processing to ensure accurate claim payment
Verify coverage via internal system and attach support documents to claims (IQQ and Unitrac)
Send out correspondence acknowledging and explaining the claim adjudication process to client
Prepare as needed daily, weekly, monthly reports associated with the internal controls of the claim and/or recovery department.
Prepare and submit carrier specific reports for claim dollars processed and paid
Provide reconciliation and balancing of claim and/or recovery proceeds and/or expenses
Process and adjudicate claims of lower severity and complexity associated with CPI or GAP (licensed may be required).
Qualifications
High school diploma required
Some college or higher education preferred
Technical college or higher education will be strongly considered
Strong preference given to a candidate with an insurance license
Minimum 3 years of professional office experience required
Insurance background strongly preferred but not required
Creditor Placed Insurance experience also preferred, but not required
Strong customer service focus and a minimum of 2-3 years of previous customer service experience required
Strong computer skills with knowledge of lotus notes, Microsoft office suite
Telephone skills with a minimum of 2-3 year customer telephone experience required
Strong working knowledge of basic accounting principles including report generation, accts payable, invoice processing, account balancing and account reconciliation is needed
Strong skills in all components of Microsoft Office and report programs in Microsoft Excel.
Ability to pass and retain continuing education associated with obtaining and retaining a valid State of Texas Insurance Adjuster license and reciprocation among other license required states. Ability to acknowledge and respect confidential information
Ability to work in a professional environment and interact with Financial Institution clients
Ability to handle multiple tasks, meet deadlines and manage multiple support functions
Ability to read and apply commonsense understanding to insurance policies , contracts, loan documents , short correspondence, oral/written instructions and memos
Ability to deal with problems and resolve with minimal support to a proper resolution
Ability to organize, prioritize and execute work in a manner that meets established claim/recovery service standards and benchmarks
Ability to learn quickly and adapt to different workload scenarios and multiple requests that must be done accurately, timely and thoroughly
Ability to use and master Microsoft office products; the ability to type at least 45 wpm
Strong attention to detail, producing a product that is accurate and meet with financial accounting practices
Ability to work independently in a fast-paced environment with the minimal support of a Manager or Supervisor
Ability to adjudicate claims of lower severity and complexity/ authority levels to $2500.00-$3500.00
Ability to analyze CPI or GAP claim information.
Ability to make claim benefit decisions and payments lower valued claim