Sr Claims Clerk

Overview

Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.

• Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
• Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
• Performs control operator functions for various Service Center or Claim Office data systems.
• Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
• Receives dock and messenger service deliveries and verifies accuracy of delivered material.
• Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
• Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
• Assists in updating jurisdictional notices and manuals used in the office.
• Pulls files from storage for in-house state audits.
• Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
• Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
• Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
• Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
• Performs other related work as required or requested.
• Upholds the Crawford Code of Conduct.

• High school diploma or GED; or the equivalent in related work experience.
• Minimum 5 years of experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures.
• Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
• Proficient in the Microsoft suite of products and like systems.
• Must be capable of working in a fast paced environment.
• Must be flexible, adaptable, and have excellent multi-tasking skills.
• Must be technically proficient.
• Excellent oral and written communication skills are essential.