Claims Clerk II reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk II verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk II processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk II works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Clerk II typically requires 1-3 years of related experience, or may need 0 years of experience with additional specialized training and/or certification.
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