Claims- Clerk

Essential Duties and Responsibilities

• Perform a variety of clerical duties;
• Process and document information in claims system from sources such as incoming letters and phone calls;
• Input medical information to claims system;
• Run claims related reports and other reports as needed;
• Interpret the insurance policy and determine if coverage is afforded.
• Interpret the traffic laws according to the state, city where accident took place and determine if insured contributed to the accident.
• Offer customer service to both our internal and external customer.
• Explore, analyze and evaluate information
• Guide customer through the claims process.
• Handle conflict resolution
• Review estimates/damages being claimed
• Identify potential fraud indicators
• Secure statements, identify exposures, and reserve accordingly.
• Other duties as assigned by management or as needed.

Qualifications/Requirements

• Meet state licensing requirements
• Be able to work flexible hours
• Have the ability to work independently
• Excellent organization skills
• High school diploma or college preferred
• Must speak clearly and professionally

Education/Training/Experience