Claims Clerk

Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.


* High school diploma or GED; or the equivalent in related work experience.


* Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.


* 2 yrs administrative experience preferred but not required.


* Proficient in the Microsoft suite of products and like systems.


* Must be capable of working in a fast paced environment.


* Must be flexible, adaptable, and have excellent multi-tasking skills.


* Must be technically proficient.


* Excellent oral and written communication skills are essential.

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* Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.


* Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.


* Performs control operator functions for various Service Center or Claim Office data systems.


* Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.


* Receives dock and messenger service deliveries and verifies accuracy of delivered material.


* Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing.

This will include shipping/receiving computer equipment.


* Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.


* Assists in updating jurisdictional notices and manuals used in the office.


* Pulls files from storage for in-house state audits.


* Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).


* Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.


* Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.


* Schedules medical appointments and sends all appropriate correspondence relating to that appointment.


* Performs other related work as required or requested.


* Upholds the Crawford Code of Conduct.