Insurance Claims Clerical Support And Data Entry

American Southern Insurance is seeking a full time Claims Processor. Hours are 8:30am to 5pm Monday through Thursday and 8:30am to 4:00pm on Friday. This is a non-exempt position with overtime after 37.5 hours (number of hours per week).

Summary: This is a staff position responsible for initial processing of claims and the entry of losses, expenses and reserves into the claims processing system (IBM-i).

Essential Duties and Responsibilities:

• Perform daily task of processing transactions requested by adjusters into IBM-i system: check requests, reserve changes, and new claim set ups. Check requests received after the prior day’s noon cutoff and before the current day’s noon cutoff are to be processed; reserve changes and new claim set ups can be completed throughout the entire day.
• Forward all completed check requests/punch slips to the Claims Administrator (typically by 1:00pm) for afternoon check processing.
• Enter all subrogation, salvage, deductible, and/or reimbursement checks received from adjusters.
• Verify any and all inconsistencies found on punch slips and/or incoming loss reports from adjusters, and collaborate with these adjusters, as needed, to determine and process appropriate corrections.
• Print all claims checks processed by both ATL and SC offices from the prior day
• Verify all claims checks (loss and expense) are accurate (spellings, addresses, amounts, etc) before being stuffed in envelopes for outbound mail processing. All checks that contain amounts of $25,000 or greater must be signed by an approved employee, and that check must be copied before it is sent via FedEx.
• Upload checks to Company’s Bank each morning.
• Receive and review any Positive Pay exceptions from the Bank each day.
• Process FedEx requests from adjusters as they arrive throughout the day.
• Prepare affidavit letters and address labels to the appropriate requester.
• Complete required weekly/monthly/quarterly catastrophic state filings.
• Order police reports from Lexis Nexis as part of the claim file set-up process, as requested by adjusters, and verify monthly Lexis Nexis invoices for accuracy.
• Verify and process Lexis Nexis monthly invoice with requested report cover sheet.
• Open/Set-up new DeKalb County claims and track adjuster assigned.
• Complete both internal and external audit requests, as required (typically performed quarterly), including, but not limited to, providing backup information for processed payments.
• Run an edit report of the entire day’s reserve transactions by 4:00pm, balancing with both the Claims Administrator and member of Underwriting Department.
• Input day end balances into IBM-i to close the day’s file once the aforementioned transactions have been verified and balanced.
• Maintain log of police reports ordered.
• Maintain a daily log of Paid Losses and Expenses.
• In all processes, check for duplicate payments.
• Perform other tasks as assigned by supervisor.

Non-essential Duties and Responsibilities:

· Handle inbound phone calls as part of the Claims Department’s phone rotation.

· Serve as a backup, as needed, to Claims Associate

Knowledge, Skills and Abilities:

• The ability to perform each of the essential duties satisfactorily.
• Good math logic skills.
• Proficient Data Entry skills (8,000 kph and 98% accuracy).
• Exceptional eye for details.
• Ability to maintain good organization.
• Ability to exhibit excellent customer service skills while taking inbound telephone calls and while dealing with office interactions.
• Ability to work independently and as part of a team.
• Ability to maintain a flexible and approachable attitude.
• Ability to use and operate a computer, calculator, fax machine, copier and telephone.

Education and/or Experience:

• High school diploma.

Physical Demands and Work Environment:

• Normal office environment.
• The employee is required to sit for long periods of time.
• While performing the duties of this position, the employee is regularly required to talk, see, and hear.
• Specific vision abilities of this position include close vision, intermediate vision, and the ability to adjust focus.
• While performing the duties of this position, the employee is regularly required to use hands, finger dexterity, repetitive finger motion, and reach with hands and arms. The employee must be able to communicate with co-workers. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.