Claims Assistant

Allied Solutions
  • Plano, Texas
    29 days ago

    Job Description

    The Claims Assistant is an entry level position that partners with the Claims and Recovery Department providing front line administrative and general office support. Ideal candidates should possess strong attention to detail, the ability to multitask and work in a structured work environment. This role will be supported with ongoing coaching from leaders with a moderate case load.

    Job Duties and Responsibilities:

    Claims Support (80%)

    • Preparing data entries in accordance with established standards.
    • Assessing reasonableness of data as well as identifying discrepancies, including reconciliations.
    • Reconciling data for new claims to be set up in a claim platform
    • May include updating basic data discrepancies identified in reports.
    • Verify coverage via internal system and attach support document to claims
    • Data Entry
    • Send out correspondence regarding claims
    • Introduction to report preparation as needed daily, weekly, monthly reports associated with the internal controls of the claim and/or recovery department. 
    • Projects related to support functions as needed 
    • Other duties as they apply

    Understanding of claims compliance and state mandated regulations (10%)

    • Follow mandates required by state statues and regulation regarding claims correspondence.
    • Ability to read and apply instructions, short correspondence, oral/written instructions and memos 

    Service Delivery to customers (10%)

    • Provide quality customer service to all clients, internal or external
    • Maintain a record of actions regarding claims in appropriate system(s)
    • Effectively communicate to all parties
    • Promptly and efficiently response to all email communications (4-8hrs)

    Qualifications (Education, Experience, Certifications & KSA):

    • High School Diploma or GED required

    The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job.

    We offer our employees a robust compensation package! Our comprehensive benefits include: medical, dental and vision insurance coverage; 100% company-paid life and disability coverage, 401k options with company match, three weeks PTO by the end of the first year and much more. Allied proudly promotes from within as part of a strong commitment to providing career growth opportunities for employees of all levels. Our diverse business portfolio allows employees broad career options with the advantage of staying with the same organization.

    All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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    Numbers & Facts

    LocationPlano, Texas
    Websitealliedsolutions.net/terms

    Skills

    • Administrative Skillsunmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Customer Support/Serviceunmatched
    • Data Analysisunmatched
    • Detail Orientedunmatched
    • Discrepancy Reportunmatched
    • High School Diplomaunmatched
    • Multitaskingunmatched
    • Reconciliationunmatched
    • Record Keepingunmatched
    • Service Deliveryunmatched
    • State Laws and Regulationsunmatched

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