Claims Intake/Reporting Clerk

Location: Topeka, Kansas
Date Posted: 08-15-2017
Company: Kansas Builders Insurance Group
Job Title: Claims Intake/Reporting Clerk
Reports to: Administrator
FLSA Status: Hourly        
Division/Department: Claims
 
SUMMARY
Intake Duties: Provide claims intake support in gathering accident information from employers as accurately as possible, with as much detail as possible.  The claims intake clerk gathers information through phone, fax and email.  The clerk coordinates the claim with the adjuster in a timely fashion.

Reporting Duties:  Oversee EDI reporting to the Division of Worker’s Compensation including all FROI and SROI reports.  Investigate and correct all error messages that are returned from the Division of W.C.

PRIMARY RESPONSIBILITIES
  • Take calls on “New Claims”.  If problems getting the information, inform the adjuster as soon as possible.
  • Enter claims into the Delta system same day as received. 
  • Set up claim and give to appropriate adjuster.  If the accident requires the employee to be admitted to the hospital or a serious injury, the adjuster needs informed before entering the data into the system.
  • Check faxes regularly for claims information.
  • Mail notification letter to employee.  Fax or email notification letter to the employer along with any additional required forms.
  • Oversee all FROI and SROI reports to the Div. of W.C.
  • Investigate and correct all error messages that are returned from the Div. of W.C.  Make sure communications are sent daily.  Communicate with IT provider to resolve any EDI reporting issues with Delta Software.
  • Answer telephones and transfer to appropriate staff member.
  • Back-up to the Receptionist when needed, sort and distribute claims mail.
  • Other task as assigned.


POSITION REQUIREMENTS
  • Basic reading, writing, and arithmetic skills required. This is normally acquired through a high school diploma or equivalent.
  • Knowledge of Microsoft Office and telephone protocol. Duties require professional verbal and written communication skills and the ability to type 50 wpm. This is normally acquired through one to three years of clerical experience. 
  • Excellent customer service skills required.
 
WORKING CONDITIONS
Working conditions are normal for an office environment.
 
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