Claim Assistant - Minnesota office
Blue Cross Blue Shield of Michigan
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Job summary
AF Group in Minnesota (MN, USA) seeks a non-manager to support the Claims and Operations Team in a hybrid work arrangement.
Responsibilities include returning calls, printing and depositing checks, creating notes in the system, closing claim files, and assisting in file reviews, with computations of medical bills in line with workers’ compensation provisions. Four days in the office required.
Qualifications
- High school diploma or G.E.D. required.
- College coursework in English, Mathematics, Business Administration or Administrative Management.
- At least 2 years of administrative experience.
- Continuous learning required; certification encouraged.
Responsibilities
- Supports the customer service for the multi-functional Claims and Operations teams including check printing, bank deposits, mail management.
- Computes the proper payment for medical bills for non-indemnity and simple indemnity claims, considering treatment and workers’ compensation provisions.
- Provides administrative support to the Claims Department using word processing and spreadsheet applications.
- Communicates and collaborates with team members to ensure timely handling of claims; supports the team as required.
- Supports the account management process for the team's book of business.
- Adheres to the Employee Code of Ethical Conduct.
Skills
Education
Tools
Job description
Compensation: Competitive Compensation and Benefits Package
AF Group’s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.
We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.
The primary focus of this position is to provide support to the Claim and Operations Team. This includes but is not limited to returning phone calls, printing and depositing ...
Work is performed in an office setting with no unusual hazards. Applicants must be available to work four days in the Office.
Compensation
Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other ...
Customer Service
Supports the customer service work and processes for the multi-functional Claims and Operations teams including check printing, bank deposits, mail management.
Computes the proper payment for the medical bills for non-indemnity and simple indemnity claims directly associated with the accident or activity. Computation is based on knowledge of the treatment given the individual and its relationship to the injury to relieve and/or cure the injury sustained as well as workers’ compensation provisions in the state the employer is domiciled.
Administration
Provides administrative support to the Claims Department using word processing and spreadsheet applications (Lien letters, timelines for medical treatment/events, etc.).
Support
Communicates and collaborates with team members to ensure the appropriate and timely handling of claims. Supports the team as required.
Compliance
Adheres to the Employee Code of Ethical Conduct.
Education
High school diploma or G.E.D. required. College coursework in English, Mathematics, Business Administration or Administrative Management OR the ...
Experience
Previous experience in an insurance environment or previous knowledge of workers' compensation laws is desired. Knowledge of medical terminology is preferred.
Skills
Ability to work independently as well as in a multifunctional business unit is essential. Effective oral and written communication skills are essential.
AF Group’s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.
We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.
AF Group (Lansing, Mich.) and its subsidiaries are a premier provider of innovative insurance solutions. Insurance policies may be issued by any of the following companies within AF Group: Accident Fund Insurance Company of America, Accident Fund National Insurance Company, Accident Fund General Insurance Company, United Wisconsin Insurance Company, Third Coast Insurance Company, or CompWest Insurance Company.
Company: AF Group
Location: MN, USA
Level: Non-Manager
Compensation: Competitive Compensation and Benefits Package
JobFamily: Claims Processing
Industry: Insurance Services
The primary focus of this position is to provide support to the Claim and Operations Team. This includes but is not limited to returning phone calls, printing and depositing of checks,creating notes in system, closing claim files, and assisting in preparation of file reviews as well as other miscellaneous support activities. Computes medical bills associated with accidents and ensures timely payment.This is a hybrid position.
WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.Applicants must be available to work four days in the Office.
PAY RANGE:Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $39,100 and $65,600.
The primary focus of this position is to provide support to the Claim and Operations Team. This includes but is not limited to returning phone calls, printing and depositing of checks,creating notes in system, closing claim files, and assisting in preparation of file reviews as well as other miscellaneous support activities. Computes medical bills associated with accidents and ensures timely payment.This is a hybrid position.
WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.Applicants must be available to work four days in the Office.
PAY RANGE:Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $39,100 and $65,600.
This position description identifies the responsibilities and tasks typically associated with the performance of the position.Other relevant essential functions may be required.
- Supports the customer service work and processes for the multi-functional Claims and Operations teams including check printing, bank deposits, mail management.
- Answers general claim inquiries from providers and provide verification of claim status.
- Communicates and collaborates with team members to ensure the appropriate and timely handling of claims. Supports the team as required.
- Supports the account management process appropriately for the team's book of business.
- Computes the proper payment for the medical bills for non-indemnity and simple indemnity claims directly associated with the accident or activity. Computation is based on knowledge of the treatment given the individual and its relationship to the injury to relieve and/or cure the injury sustained as well as workers’ compensation provisions in the state the employer is domiciled.
- Provides administrative support to the Claims Department using word processing and spreadsheet applications (Lien letters, timelines for medical treatment/events, etc.).
- Ensures that all payments are made in an accurate and timely manner and that all files are closed to meet internal performance standards while complying with state legislation to avoid penalties and reduce the amount of supplemental bills.
- Adheres to the Employee Code of Ethical Conduct.
- Completes other duties and special projects as requested.
This position description identifies the responsibilities and tasks typically associated with the performance of the position.Other relevant essential functions may be required.
- Supports the customer service work and processes for the multi-functional Claims and Operations teams including check printing, bank deposits, mail management.
- Answers general claim inquiries from providers and provide verification of claim status.
- Communicates and collaborates with team members to ensure the appropriate and timely handling of claims. Supports the team as required.
- Supports the account management process appropriately for the team's book of business.
- Computes the proper payment for the medical bills for non-indemnity and simple indemnity claims directly associated with the accident or activity. Computation is based on knowledge of the treatment given the individual and its relationship to the injury to relieve and/or cure the injury sustained as well as workers’ compensation provisions in the state the employer is domiciled.
- Provides administrative support to the Claims Department using word processing and spreadsheet applications (Lien letters, timelines for medical treatment/events, etc.).
- Ensures that all payments are made in an accurate and timely manner and that all files are closed to meet internal performance standards while complying with state legislation to avoid penalties and reduce the amount of supplemental bills.
- Adheres to the Employee Code of Ethical Conduct.
- Completes other duties and special projects as requested.
- High school diploma or G.E.D. required.
- College coursework in English, Mathematics, Business Administration or Administrative Management OR the equivalent ininsurance-relatedcourse work and experience is required.
- At least 2 years of administrative experience.
- Continuous learning required, as defined by the Company’s learning philosophy.
- Certification, or progress toward, highly preferred and encouraged.
- Previous experience in an insurance environment or previous knowledge of workers' compensation laws is desired.
- Knowledge of medical terminology is preferred.
- Ability to work independently as well as in a multifunctional business unit is essential.
- Effective oral and written communication skills are essential.
- Excellent customer service and organizational skills are essential.
- Ability to manage multiple priorities and adapt to changing workflow in order to still meet deadlines and goals are essential.
- Proficient in Microsoft Windows.
- Attention to detail and analytical skills required.
- Ability to enter and verify alpha/numeric data accurately.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.
- High school diploma or G.E.D. required.
- College coursework in English, Mathematics, Business Administration or Administrative Management OR the equivalent ininsurance-relatedcourse work and experience is required.
- At least 2 years of administrative experience.
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