Claims Processing Clerk

As Claims Payment Clerk, you will review claims submitted for payment processing. Assuring the accuracy of the amount requested for payment. You will also review each claim for prior payments and ensure they are correctly accounted for. Verification of the payees listed on the payment request must match with the policy documents and signed contracts and documents which are found in the claim. You will play a key role in the verification of all payments prior to them being processed, as well as ensuring that the payees on all payments are verified.

Monday through Friday 8:30 AM - 5:00 PM

$22.00/hr.

Essential Functions:

· Processing claims payment requests and verification of the payment coding.

· Review of SOL and EST against the payment request to ensure accuracy of the amount to be processed.

· Verify all information in the letter going out to the insured for accuracy.

· Review the dec page and contracts in the claim to make sure all payees are to the payment request.

· Make sure that vendors/Attorneys/PA’s added as payees, are selected from the global list.

· Review potential payment variances and identify any discrepancies.

· Contacting claims of discrepancies, explaining these discrepancies so they can be resolved.

· Documenting discrepancies in the claim.

· Assist in resolving complex billing issues with the SA’s, to timely process payment requests.

· Ensuring adherence to accounting processes and internal controls.

· Answering inquiries regarding checks (cleared or outstanding) and banking issues.

Required Education and Experience:

· High school diploma, some college preferred.

· 1-2 years of experience in accounting and/or Accounts payable or a combination of education and experience.

Essential Skills:

· Excellent analytical, financial, and critical thinking skills.

· Elevated level of attention to details and accuracy.

· Ability to adapt to shifting priorities, effectively manage and prioritize multiple projects/tasks to meet deadlines.

· Understanding of accounting principles like debits and credits.

· Ability to perform calculations accurately.

· Proficient with Microsoft Office products, with Excel skills.

· Clear and concise communication with colleagues and outside vendors.

· Ability to work independently as well as within a team with a strong sense of teamwork.