Claim Assistant - Minnesota office

ViziRecruiter,LLC.; Minnesota; Hybrid; USD 39,000 - 66,000; Full time

Job summary

AF Group and its subsidiaries provide innovative insurance solutions. The role focuses on supporting the Claims and Operations teams with administrative tasks, including check printing, deposits, and file preparation, while computing medical bills related to accidents.

This hybrid position requires attention to detail, strong communication, and the ability to handle multiple priorities in a regulated environment.

Qualifications

• High school diploma or GED required; college coursework in English, mathematics, business administration or administrative management preferred.
• Two years of administrative experience requested.
• Continuous learning required per company policy; certification or progress toward certification is highly preferred.
• Other insurance-related coursework and experience considered.

Responsibilities

• Supports customer service for Claims and Operations teams including check printing and deposits.
• Answers general claim inquiries and verifies claim status.
• Coordinates with team members to ensure timely handling of claims.
• Assists in account management for the team's book of business.
• Computes payments for medical bills for non-indemnity and simple indemnity claims; aligns with state workers’ compensation provisions.

Skills

Independence

Communication

Customer service

Organization

Multitasking

Data entry

Attention to detail

Education

High school diploma or GED

College coursework in business/English

2 years administrative experience

Professional certification (preferred)

Tools

Microsoft Windows

Job description

Introduction

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.

Overview

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.

Responsibilities

• 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.

Requirements

EDUCATION OR EQUIVALENT EXPERIENCE

• 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.

EXPERIENCE

• Previous experience in an insurance environment or previous knowledge of workers' compensation laws is desired.
• Knowledge of medical terminology is preferred.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED

• 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.