Claims Control Clerk

Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results.

Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.

The Claims Control Clerk is responsible for maintaining control of all mail delivered from the mailroom by logging in each batch under the appropriate client code and delivering all batches to the correct areas that may not be scanned into AWD. Faxes and re-batches coming from the claim or customer service area are batched and delivered to designated individuals for processing.

Inventory reports are run daily, and information is communicated to claim managers and supervisors, after logging completed claim information in Daily Operation Statistic and inventory tracking reports. Supply orders are completed as well.

other duties may be assigned as necessary:

• Handle all transmittal claims or inquiries received from the mailroom, or via fax or correspondence, researching and resolving all discrepancies.
• Responsible for adding all mail counts received by the mailroom into an access database.
• Distribute all claims to the appropriate areas by client if not in AWD.
• File all completed batches in Julian date order to be picked up for imaging when applicable.
• Place calls to providers to obtain correct mailing addresses.
• Obtain and turn in weekly supply list to the main office.
• Email or distribute outstanding and complete batch reports to area managers daily.
• Input previous days completed claim information into Daily Operation Statistic reports.
• Track daily claims receipts by claim type in excel spreadsheet, to be reported monthly.
• Handle claim batch maintenance for Qic Link Support.
• Actively participate in cross training to maximize team efficiency and maintain or exceed service standards. May include review of returned mail or eligibility claims.
• Assist with preparation of gathering documentation for internal/external requests, including client audits.
• Communicate openly with Supervisors, Managers and other team members to ensure accurate responses and to avoid duplication of efforts.

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.

• High school diploma or GED equivalent
• Insurance background preferred
• Familiarity with Microsoft Office products; intermediate Excel knowledge is preferred
• Ability to adapt and respond to different types of people and tasks
• Excellent communication and documentation skills
• Ability to multi-task, prioritize, and manage time effectively and efficiently
• Reliable transportation and the ability to be punctual and dependable

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike.
Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can…