Claims Clerk 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 verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.
Investigates, adjusts and resolves assigned Workers' Compensation claims in a timely manner in accordance with legal statutes, policy provisions and company guidelines.
Perks: Full and comprehensive benefits programs starting on your first day, 24 days of paid vacation/holidays in your first year plus sick days, Employee Assistance and a Referral Program.
Minimum education: High School Diploma or equivalent
Prefered skills and experience: Associate or bachelor's degree preferred, or four or more years of insurance, medical/health or legal related work experience. Completion of basic Workers' Compensation training courses, internally and/or externally
Required skills and experience 1-2 years of experience handling workers' compensation claims. MS Excel and Word; computer experience with related claims software; excellent verbal and written communication skills; ability to multi-task; good negotiation skills; superior organizational skills; customer-focused orientation; strong analytical skills;
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