JOB SUMMARY

Provides claims support, data organization and administrative service to Insurance and Claims Department. Maintains and updates claims files and Vanes Insurance & Claim System (VICS). Reports directly to and takes direction from the Senior Claims Specialist.

ESSENTIAL DUTIES & RESPONSIBILITIES

Administrative Support:

• Support Insurance and Claims Department in litigation and claims management.
• Boarding and Separation Report: Receive, review and email notification to team and file.
• Any other duties as assigned.

Claims Processing

• Create and organize claim files.
• Maintains and updates claims files and Vanes Insurance & Claim System (VICS)
• Assist with claims processing of vessel related damage, oil spill and injury/illness claims.
• Assist with claims processing of land-based employee W/Comp, automobile, third-party claims and other claims as needed.
• Submit medical claims/invoices for audit with outside vendor; reduce audited claims, complete letter to provider serving as EOB, print off for signature and review with Claims Specialist, and submit to accounting to accompany claim payment.
• Assist with data compilation and preparations for submitting claims for insurance reimbursement.
• Assist with processing of maintenance and wages, along with other financial documentation.
• Administer (VICS) with Insurance and Claims team to capture data needed for enhancements and additional reporting.

Insurance

• Gain knowledge of Certificates of Insurance, Certificates of Entry, Blue Cards, Wreck Removal, CLC, COFRS, etc. on Risk Portal databases in S Drive and all other company databases
• Complete applications for Blue Cards, Wreck Removal, CLC, etc.
• Gain Knowledge of and utilize resources such as Q-88
• Follows all company policies and procedures.

Other duties

• Scan Boarding and Separation (B & S) Documents; maintain B & S folder.
• Scan, copy and file various paperwork.

QUALIFICATION REQUIREMENTS

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, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND/OR EXPERIENCE

• Three to five years related experience
• HS Diploma or GED

KNOWLEDGE, SKILLS, AND ABILITIES

• Meticulous attention to detail

• Ability to manage multiple priorities, be a self-starter and consistently communicate in a team environment and with providers and vendors.
• Excellent verbal and written communication skills
• Customer service friendly
• Strong computer experience especially in Word, Excel and Outlook
• Experience managing and navigating various websites/database content.
• Knowledge of worker’s compensation, medical terminology, and insurance preferred.

PHYSICAL DEMANDS

Light - Lifting 20 pounds maximum with frequent lifting and/or carrying objects weighing up to 10 pounds. Walking or standing to a significant degree, involves sitting most of the time with a degree of pushing and pulling.

WORK ENVIRONMENT

Limited - General office environment infrequently exposed to extreme atmospheric conditions (temperature, noise, fumes, dust, etc.)