Specific Claims Assistant I
Description Position at Tokio Marine HCC Specific Claims AssistantJob SummaryProvides clerical assistance to Claims Examiners and Support staff.
Performs routine tasks associated with the processing of stop-loss, reinsurance, and life/disability claims.
Key Responsibilities Process life/disability claims by entering into system.
Track the turn-around time to/from third-party administrators (TPAs) and/or carriers.
Ensure forms needed are provided to auditors for processing claims.
Enter received mail (initials and supplements) into document management system under the proper claimant.
Input all claims department information into system such as received mail and log all mail received for production tracking purposes daily.
Distribute the mail to the proper Auditor Scan all letters and documents received to the proper claimant.
Retrieve and return claimant files on a daily basis as needed by the Auditor.
Create new claim folders when a new claim is entered into the system.
Pull checks requested by auditors from all checks received.
Run outstanding reports for supervisors for production purposes twice a day.
Prepare files and ship the files to off-site storage.
These are files that are finalized and are not needed on a regular basis Pull off-site storage files as requested by Auditors Position Knowledge, Skills, and RequirementsEducation:
High School Diploma/GED Possess and have the ability to apply broad knowledge of principles, practices, and procedures Good written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word) CompetenciesPlanning Follow work plans, established timelines, and pre-defined goals for assigned work.
Meet commitments on deadlines.
Communication Develop strong customer focus and high service level relationship with clientsCost Management Perform work thoroughly in a cost-efficient manner and at a high productivity level.
Utilize company resources effectively Business Controls and Policies Comply with all corporate policies and procedures.
Take all reasonable steps to safeguard company assets against waste, loss, unauthorized use and misappropriation.
Report any breakdown in controls to a supervisor or manager Tokio Marine offers a competitive salary and benefits package including:
Generous paid time off (PTO), 12 paid company holidays, 401(k) Retirement Plan with 6% company match.
Health and dental insurance, and vision plan available.
Company-provided long-term disability and life insurance.
Opportunities for advancement in a successful and growing organization.
Flexible work schedules and a great work/life balance.
Paid Parental Leave.
Volunteer Time Off.
Enjoy casual dress and work in a modern, comfortable office with free parking.
Hybrid work schedule The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefits package.
We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals.
The Tokio Marine HCC Group of Companies is an equal opportunity employer.
Please visit www.
tmhcc.
com for more information about our companies.
#LI-NB1 Recommended Skills Analytical Auditing Claim Processing Communication Confidentiality Diplomacy Estimated Salary: $20 to $28 per hour based on qualifications.
Performs routine tasks associated with the processing of stop-loss, reinsurance, and life/disability claims.
Key Responsibilities Process life/disability claims by entering into system.
Track the turn-around time to/from third-party administrators (TPAs) and/or carriers.
Ensure forms needed are provided to auditors for processing claims.
Enter received mail (initials and supplements) into document management system under the proper claimant.
Input all claims department information into system such as received mail and log all mail received for production tracking purposes daily.
Distribute the mail to the proper Auditor Scan all letters and documents received to the proper claimant.
Retrieve and return claimant files on a daily basis as needed by the Auditor.
Create new claim folders when a new claim is entered into the system.
Pull checks requested by auditors from all checks received.
Run outstanding reports for supervisors for production purposes twice a day.
Prepare files and ship the files to off-site storage.
These are files that are finalized and are not needed on a regular basis Pull off-site storage files as requested by Auditors Position Knowledge, Skills, and RequirementsEducation:
High School Diploma/GED Possess and have the ability to apply broad knowledge of principles, practices, and procedures Good written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word) CompetenciesPlanning Follow work plans, established timelines, and pre-defined goals for assigned work.
Meet commitments on deadlines.
Communication Develop strong customer focus and high service level relationship with clientsCost Management Perform work thoroughly in a cost-efficient manner and at a high productivity level.
Utilize company resources effectively Business Controls and Policies Comply with all corporate policies and procedures.
Take all reasonable steps to safeguard company assets against waste, loss, unauthorized use and misappropriation.
Report any breakdown in controls to a supervisor or manager Tokio Marine offers a competitive salary and benefits package including:
Generous paid time off (PTO), 12 paid company holidays, 401(k) Retirement Plan with 6% company match.
Health and dental insurance, and vision plan available.
Company-provided long-term disability and life insurance.
Opportunities for advancement in a successful and growing organization.
Flexible work schedules and a great work/life balance.
Paid Parental Leave.
Volunteer Time Off.
Enjoy casual dress and work in a modern, comfortable office with free parking.
Hybrid work schedule The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefits package.
We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals.
The Tokio Marine HCC Group of Companies is an equal opportunity employer.
Please visit www.
tmhcc.
com for more information about our companies.
#LI-NB1 Recommended Skills Analytical Auditing Claim Processing Communication Confidentiality Diplomacy Estimated Salary: $20 to $28 per hour based on qualifications.
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