The responsibility of the team is to provide a supporting role for the Auto, Casualty and Property Claims divisions. Accuracy and timeliness of Support assignments have a direct impact on the claim experience and compliance with numerous insurance regulations.
Duties & Responsibilities:
Filing
Distribution of forms, letters, checks and reports.
Process incoming mail/return mail.
Mail all forms, letters, checks and transcriptions.
Print as necessary from eDocs and websites.
Assist appraisers and adjusters.
Document Medicare file reviews and reporting information.
Research problem mail.
Generate simple checks (adjusting, tow bills, medical bills, salvage bills, etc.)
Obtain claim check copies.
Dictation/maintain transcript log.
Monitor incoming phone calls.
Order supplies.
Set up claims.
Appropriately document claim files, including entering draft payments into claim files.
Rename and re-index documents.
Process police report requests and update file upon return.
Deposit salvage, review subro and salvage, tow, and glass checks.
Process CD requests and Microfilm requests.
Complete claims processes and transactions involving confidential and sensitive information.
Responsible for all reinsurance support tasks.
Review/process stale dated drafts/checks.
Maintain DB on PACE, such as Providers.
Process all tax levies.
Research and process approved appraisal payments.
Liability file set up.
Loss set up AS400/coding.
Complex PACE updates (DOL change, etc.).
Access financial institutions (Stop pay).
Moderate/Advanced database usage.
Process more complex financial transactions, such as ROL and ROA.
Issue any/all liability/subro payments.
Process incoming mail/Process return mail.
Mailing all forms, letters, checks and transcriptions.
Maintain knowledge of Medicare reporting laws.
Determine reportable injured parties through Medicare maintenance queues and provided reports.
Pend medical bills, as needed, for further contact as necessary to obtain information.
Research and correct any errors identified after the quarterly Medicare submissions are returned.
Report BI settlements on all Medicare eligible claims.
Salary.com Estimation for Claims Support in Edmeston, NY
$50,927 to $64,922
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