Claims Support (Hybrid)

Claims Support's responsibility is to provide a supporting role for the Auto, Casualty and Property Claims divisions. Accuracy and timeliness of Support assignments have a direct impact on the claim experience and compliance with numerous insurance regulations.

Duties & Responsibilities:

• Filing
• Distribution (forms, letters, checks, reports).
• Printing as necessary from eDocs and websites.
• Dictation/Maintain Transcript Log.
• Contents Loss Inventory spreadsheet.
• Assist appraisers and adjusters.
• Document Medicare file reviews and reporting information.
• Generate simple payments (adjusting, tow bills, med bills, SALVB & SALVBC, etc.).
• Obtain claim check copies.
• Limited uses of databases (such as Reg83).
• Set up claim (PACE).
• Process CD requests and Microfilm requests.
• Enter draft payments to claim file.
• Rename/re-index docs.
• Process police report requests and update claim file upon return.
• Deposit salvage/Review subro and salvage, tow, and glass checks.
• Complete claims processes and transactions involving confidential and sensitive information.
• Responsible for all reinsurance support tasks.
• Review/process stale dated drafts/checks.
• Maintain DB on PACE, such as Providers.
• Process all tax levies.
• Research and process approved appraisal payments.
• Liability file set up.
• Loss set up AS400/coding.
• Complex PACE updates (DOL change, etc.).
• Access financial institutions (Stop pay).
• Moderate/Advanced database usage.
• Process more complex financial transactions, such as ROL and ROA.
• Issue any/all liability/subro payments.
• Process incoming mail/Process return mail.
• Mailing all forms, letters, checks and transcriptions.
• Maintain knowledge of Medicare reporting laws.
• Determine reportable injured parties through Medicare maintenance queues and provided reports.
• Pend medical bills, as needed, for further contact as necessary to obtain information.
• Research and correct any errors identified after the quarterly Medicare submissions are returned.
• Report BI settlements on all Medicare eligible claims.
• Meet monthly and quarterly filing requirements.
• Research problem mail.
• Review/analyze reports (Loss04, Loss25, Loss20 etc.).
• Review claim files, reports, and medical bills to obtain reportable details.
• Recheck claim file reports and forms as well as contact injured parties by letter and/or telephone to obtain missing or incorrect information.
• Perform ISO decision net search for social security numbers and/or date of birth.

Requirements:

• High School Diploma

Skills & Qualifications:

• Understand the Medicare maintenance queues, actuate reports, and reports provided by analytics to aid in determining reportable injured parties.
• Knowledge of CPT, ICD9 & ICD10 medical codes.
• Good keyboarding and computer skills.
• Ability to work within a team.
• Attention to detail.
• Ability to follow established processes and instructions.
• Appropriate claim file documentation.
• Phone skills.
• Ability to multitask and prioritize.
• Effectively communicate and work with all Claims divisions as applicable.

Market Range 1 / 40 hours per week / Hybrid

Salary: $33,700-$48,600

Accepting applications through: 12/29/25

Equal Opportunity Employer
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