Saturday, July 24, 2010

Claims Examiner Assistant.

Job Title:Claims Examiner Assistant - Flood BPO - Travelers

Job Category:Third Party Administration

Description
Essential Job Functions
  • Enters insurance claims received electronically or in written form.
  • Answers incoming customer calls regarding claim processing. Documents claim and associated history.
  • Evaluates available information to validate straightforward basic claims. Verifies policyholder information, policy effective dates, premium status, and verification of claim eligibility.
  • Sends claim form to claimant.
  • Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment. Processes payment.
  • Advises claimant of status and resolution of claim. Escalates claimant concerns as appropriate.
  • Completes special projects or performs other duties as necessary.


Qualification

Basic Qualifications

  • High school diploma or G.E.D.
  • Zero or more years of claims experience
  • Experience working with insurance and/or medical terminology
  • Experience working with appropriate claims processing procedures and documentation

Other Qualifications

  • Basic analytical and problem solving skills
  • Interpersonal skills to interact with team members
  • Communication skills to communicate with customers
  • Data entry skills
  • Ability to keep sensitive and confidential material private
  • Ability to work in a team environment