Claims Clerk III 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 III verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk III processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk III works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Clerk III typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification.
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