Lead Claims Processing Technician

Location US-OH-Richfield
Posted Date 4 weeks ago(3/25/2021 1:41 PM)
Job ID
27441
# of Positions
1
Division
National Interstate
Category
Claims
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

Essential Job Functions and Responsibilities
• Organizes assigned work and performs claims processing and payment functions on large volumes of claims for one or more lines:
o Composes, prepares, reviews, and responds to correspondence.
o Answers and responds to inquiries and gathers information.
o 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.
o Performs general processing, may include updating manuals.
o 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.
o May perform systems functions, including determining errors/corrections on claims system(s).
o May coordinate/maintain contractor system, assigned manuals, repetitive payment schedule and bulk billing system.
o May receive/verify information on loss reports and expense and/or medical bills.
o May perform calculations to evaluate benefits, such as for mileage, wages, disability, or reimbursement payments.
o 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 Claims 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 Claims Processors.
• Performs other duties as assigned.

Qualifications

Education:
High school diploma or equivalent
Experience:
3 to 5 years of related experience.(Leadership or Relevant Insurance Experience
Scope of Job:
Demonstrates advanced knowledge of forms/systems, policies, claims processing requirements and related data processing systems. Performs work under limited supervision.

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