Lead Claim Clerk

US-GA-Peachtree Corners
7 days ago
Requisition ID
2017-2549
Category
Claims
Business Unit
Broadspire

Excellence In Everything We Touch

Broadspire Claims

Position Summary

 

 

Under the direction of the Service Center Manager/Team Manager, ensures that all daily administrative support functions are carried out effectively, provides support services for service center/satellite office, performs a variety of claim clerical support duties for the Service Center or Satellite Office.

 

 

Responsibilities

 

  • Keeps Service Center/Satellite management informed of activities and problems within administrative support area.
  • May assist with accounts/receivables.
  • 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.
  • Keeps supervisor informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to supervisor for direction.
  • Organizes support staff functions and coordinates workflow. Checks, verifies and analyzes work of staff.
  • Assists and/or relieves other support personnel for time off as necessary.
  • Trains and counsels administrative staff personnel.
  • Assists with screening prospective support staff candidates.
  • Performs other related work as required or requested.
  • Assists with setting up new hires with IT issues, phones, name plates, etc.
  • Maintains the legal calendar (GL only)
  • Set up new claims & Send out acknowledgement letters (GL/Auto only)
  • Upholds the Crawford Code of Conduct

 

Requirements

 

  • Education equivalent to graduation from high school or the equivalent in related work experience.
  • 5 years ‘plus experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures.
  • Knowledge of computer operations
  • Claim file systems and procedures
  • Admin basic skills
  • Organizational skills
  • Demonstrates effective and diplomatic oral and written communication skills.

 

About Us

 

Broadspire (www.choosebroadspire.com), a leading international third party administrator, provides risk management solutions designed to help clients improve their financial results. Broadspire offers casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics. As a Crawford Company, Broadspire is based Atlanta, Ga., with 85 locations throughout the United States. Services are offered by Crawford & Company under the Broadspire brand in Europe (www.Broadspire.eu), including the United Kingdom (www.BroadspireTPA.co.uk).

In addition to a competitive salary, Crawford offers you:

  • Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries;
  • On-going training opportunities through every stage of your career
  • Strong benefits package including matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V

Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. 

 

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