Title: Claim Clerk
Job Code: CL CLERK
Reports To: Claim Supervisor or Manager
Location: All CCMSI Locations
Provide general clerical duties for the claim personnel and other team members as assigned. Accountable for the quality of claim service as perceived by CCMSI clients and within Corporate Claim Standards.
Essential Duties & Responsibilities:
Match mail for assigned accounts.
Follow up on bills.
File claim mail and related documents.
Set up designated claim files and complete all set up instructions, as requested.
Back-Up for Receptionist
Summarize correspondence and medical records in the claim log notes as wells as file it in the appropriate claim, as directed by claim staff.
Retrieve closed files and re-file in storage.
Maintain claim files in storage.
Photocopy claim documents, as needed.
Return provider calls or other calls, as directed.
Provide support to claim staff on client specific teams.
Compliance with service commitments as established by the team.
Performs other duties as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills. Individual must be a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Ability to operate general office equipment and perform clerical duties. Flexibility, initiative, and the ability to work with a minimum of direct supervision a must. Discretion and confidentiality required. Ability to work as a team member in a rapidly changing environment.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
High school diploma or equivalent.
Proficient with Microsoft Office programs.
Certificates, Licenses, Registrations
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Object Handling Categories
Work requires the ability to lift/carry objects routinely as follows:
Heavy Lifting: Objects weighing 35-50 pounds lifted on a regular basis. Mechanical lifting devices (carts, dollies, pallet jacks, forklift trucks, etc.) or team lifts should be utilized.
Medium Lifting: Objects weighing 15-35 pounds lifted on a regular basis.
Light Lifting: No lifting of objects weighing more than 15 pounds on a regular basis.
Other Physical Demands (check all that apply)
Work requires the ability to sit or stand up to 7.5 or more hours at a time.
Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity,
Work requires sufficient auditory and visual acuity to interact with others
Work requires color vision
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
Job Type : Full-Time
Education Level : High School
Experience Level : Entry Level
Job Function : Administrative