Claim Technician

Job DescriptionThe Claim Technician provides various functions in the management of claims administered by the Risk Management department:Processes new workers compensation claims submitted through the internet for assignment to either adjuster or self by accountSupports assigned Adjusters as part of a team that services specific accountsDistributes and attaches incoming e-mails and scanned documents to the appropriate claim fileEnters medical bill payments and vendor fee charges into the systemPrints checks, verifies check registers, stuffs and mails payments daily for specific accounts Handles medical only claims by verifying compensability, submitting for bill review and re-pricing; uses diary process for follow up and closureReceives and addresses calls from customers regarding payment of bills, status of claims, etc.Processes all voids, stop payments, refunds, recoveries, as well as the filing and storing of canceled checksCompletes status requests from the applicable State Division of Workers Compensation divisionsWorks closely with team members to make sure all items are processed timely and calls answered promptly to assure high level of serviceAssists as back-up to other associates during vacation or absence Competencies:Bachelor s degree from an accredited four-year college or university, or equivalent experienceStrong written and verbal communication skillsStrong organizational skillsAbility to apply mathematical conceptsAbility to work successfully in a deadline driven environmentAbility to attend social functions for clients and carriers in order to build relationshipsWorking knowledge of Microsoft products (Word, Excel, Outlook, etc.)Working knowledge and comfort level with claims management systems; and comfort working in a paperless environment