Claims Processor Job Description

Job summary 1

The Claims Processor will be supporting casualty claims personnel. Performs duties which will include assigning injury claim exposures to claims representatives and preparing files to be sent out to defense attorneys for litigation. Other duties will include processing paperwork, answering incoming phone calls, entering data into various systems, etc. Other duties and responsibilities as assigned or required. Performs all duties under general supervision.

Duties & Responsibilities 1

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Requirements & Skills 1

Job summary 2

We are hiring a Claims Processor. Our Claims Processors are responsible for providing exemplary customer service and answering a minimum of 35 calls per day. In this role, you must obtain all pertinent claim/vehicle information from technicians and customers in reference to part numbers and pricing.

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Job summary 3

We are looking for an experienced Claims Processor who has the ability to communicate compassionately and effectively to resolve insurance claims. You’ll be responsible for assigning claims to appropriate adjusters and working in partnership with internal teams to resolve claims. In addition, you’ll answer phone calls from customers, agents, and repair facilities. You’ll also help with pending claims management, sending regulatory letters and issuing payments.

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Job summary 4

The Claims Processor reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.

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Job summary 5

The Claims Processor is responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.

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Job summary 6

The Claims Processor scans, tracks and processes claims, documents, and claims correspondence. Research claim error reports to ensure quality and production standards are met.

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Job summary 7

Under direction supervision, the Claims Processor position is responsible for the adjudication of post service claims including all edits and financial calculations for payment to providers or members.

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Requirements & Skills 7

Job summary 8

The Claims Processor performs duties which will include assigning injury claim exposures to claims representatives and preparing files to be sent out to defense attorneys for litigation. Other duties will include processing paperwork, answering incoming phone calls, entering data into various systems, etc. Other duties and responsibilities as assigned or required. Performs all duties under general supervision.

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Job summary 9

The Claims Processor is responsible for processing payments for service repairs completed, issuing payments to multiple suppliers/vendors as well as auditing each invoice and claim to ensure approval has met standards and are within the contract guidelines.

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Job summary 10

This is an entry level position supporting claims personnel in all disciplines. The Claims Processor performs duties that include processing paperwork and mail, issuing payments, answering incoming phone calls, enters data into various systems, processes electronic financial transactions. Updates and maintains records which may include database or other computer records. Other duties and responsibilities as assigned or required. Performs all duties under general supervision.

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