Claims Control Clerk

Integrity; Clearwater (FL); On-site; USD 22,000 - 34,000; Full time

Job summary

Integrity is seeking a Claims Control Clerk in the United States to maintain control of mail batches, log client codes, and route claims for processing. The role includes updating databases, generating inventory and daily operation reports, and supporting cross-training to maximize team efficiency.

You will work within a collaborative team environment, handling multi-step tasks with accuracy while coordinating with managers and providers.

Qualifications

• High school diploma or GED is required.
• Insurance background preferred.
• Proficient in Microsoft Office; intermediate Excel preferred.

Responsibilities

• Handle mailroom transmittals and inquiries, researching discrepancies.
• Enter mail counts into an Access database and track batches.
• Distribute completed claims to appropriate areas by client or AWD status.
• File batches in Julian date order for imaging when applicable.
• Contact providers to obtain correct mailing addresses.
• Maintain weekly supply lists and communicate updates to the office.
• Distribute reports to area managers daily and log claim data.
• Update Daily Operation Statistic and inventory tracking reports.
• Assist with documentation gathering for audits and requests.
• Communicate with Supervisors and team to ensure accuracy and avoid duplication.

Skills

Attention to detail

Excellent communication

Time management

Multitasking

Organizational skills

Education

High school diploma or GED

Tools

AWD

QicLink

Microsoft Excel

Job description

About Insurance Administrative Solutions

Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.

Job Summary

The Claims Control Clerk is responsible for maintaining control of all mail delivered from the mailroom by logging in each batch under the appropriate client code and delivering all batches to the correct areas that may not be scanned into AWD. Faxes and re-batches coming from the claim or customer service area are batched and delivered to designated individuals for processing. Inventory reports are run daily, and information is communicated to claim managers and supervisors, after logging completed claim information in Daily Operation Statistic and inventory tracking reports. Supply orders are completed as well.

Primary Skills & Requirements

other duties may be assigned as necessary

• Handle all transmittal claims or inquiries received from the mailroom, or via fax or correspondence, researching and resolving all discrepancies.
• Responsible for adding all mail counts received by the mailroom into an access database.
• Distribute all claims to the appropriate areas by client if not in AWD.
• File all completed batches in Julian date order to be picked up for imaging when applicable.
• Place calls to providers to obtain correct mailing addresses.
• Obtain and turn in weekly supply list to the main office.
• Email or distribute outstanding and complete batch reports to area managers daily.
• Input previous days completed claim information into Daily Operation Statistic reports.
• Track daily claims receipts by claim type in excel spreadsheet, to be reported monthly.
• Handle claim batch maintenance for QicLink Support.
• Actively participate in cross training to maximize team efficiency and maintain or exceed service standards. May include review of returned mail or eligibility claims.
• Assist with preparation of gathering documentation for internal/external requests, including client audits.
• Communicate openly with Supervisors, Managers and other team members to ensure accurate responses and to avoid duplication of efforts.

Primary Skills & Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• High school diploma or GED equivalent
• Insurance background preferred
• Familiarity with Microsoft Office products; intermediate Excel knowledge is preferred
• Ability to adapt and respond to different types of people and tasks
• Excellent communication and documentation skills
• Ability to multi-task, prioritize, and manage time effectively and efficiently
• Reliable transportation and the ability to be punctual and dependable

About Integrity

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.

Integrity offers you the opportunity to start a career in a family‑like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you’ll love, and we’ll love you back. We’re proud of the work we do and the culture we’ve built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper‑growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.

Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are — in person, over the phone or online. Integrity’s employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.