• Lead Claim Processing Technician

    Location US-OH-Richfield
    Posted Date 1 month ago(7/9/2019 5:04 PM)
    Job ID
    25413
    # of Positions
    1
    Category
    Administrative/Customer Support
    Position Type
    Full Time
  • Overview

    National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you!

    Responsibilities

    • Organizes assigned work and performs claims processing and payment functions on large volumes of claims for one or more lines:
      • Composes, prepares, reviews and responds to correspondence.
      • Answers and responds to inquiries and gathers information.
      • May perform mail / file functions. Utilizes the company system(s) to identify the appropriate recipient of correspondence within or outside the company. Sorts and distributes mail. Maintains / purges documents according to record retention guidelines and distributes files / file systems.
      • Performs general processing, may include updating manuals.
      • May assist with claims numbers, claims setup and entry, electronic imaging or indexing, statistical coverage verification, preparation / entry of claims transactions, preparation / processing recovery and processing drafts and forms.
      • May perform systems functions, including determining errors / corrections on claims system(s).
      • May coordinate / maintain contractor system, assigned manuals, repetitive payment schedule and bulk billing system.
      • May receive / verify information on loss reports and expense and / or medical bills.
      • May perform calculations to evaluate benefits, such as for mileage, wages, disability or reimbursement payments.
      • May process documents on manually coded claims.
    • Assists Claims staff on more complex claims such as those with coverage questions or recovery potential.
    • Provides support to Claim department in areas requiring advanced skills or knowledge.
    • Enters information into company system(s).
    • Prepares, orders and maintains records, reports, registers and schedules.
    • Serves as the lead technical and procedural resource and trains less experienced Claim Processors.
    • Performs other duties as assigned.

    Qualifications

    Education: High school diploma or equivalent
    Experience: 4 or more years of related experience.

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