Claims Control & Data Operations Specialist

Insurance Administrative Solutions, L.L.C.; Clearwater (FL); On-site; USD 32,000 - 46,000; Full time

Job summary

Integrity is seeking a Claims Control Clerk to manage mailroom batches, log claims by client code, and route them to the correct areas for processing. You will batch, image, and track claims, maintain inventory and supply orders, and communicate daily with claim managers to ensure timely completion.

The role requires attention to detail, ability to work with Excel and Access databases, and strong organizational and communication skills.

Qualifications

• High school diploma or GED equivalent.
• Insurance background preferred.
• Familiarity with Microsoft Office products; intermediate Excel knowledge 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 punctuality.

Responsibilities

• Handle all transmittal claims or inquiries from the mailroom, via fax or correspondence, researching and resolving discrepancies.
• Add 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 for imaging when applicable.
• Place calls to providers to obtain correct mailing addresses.
• Obtain and submit weekly supply lists 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 Statistics.
• Track daily claims receipts by claim type in Excel, to be reported monthly.
• Handle claim batch maintenance for QicLink Support.
• Actively participate in cross training to maximize team efficiency and maintain service standards.
• Assist with gathering documentation for internal/external requests, including audits.
• Communicate openly with Supervisors, Managers and team members to avoid duplication of effort.

Skills

Transmittal claims handling

Mailroom data entry

Claims routing by client

Batch filing and imaging

Provider contact calls

Supply list coordination

Batch reporting to managers

Daily operation/statistics input

Daily/ monthly claims tracking inExcel

QicLink batch maintenance

Cross-training participation

Documentation for audits

Clear communication with team

Education

High school diploma or GED

Tools

Microsoft Office

Excel

Job description

Integrity is seeking a Claims Control Clerk to manage mailroom batches, log claims by client code, and route them to the correct areas for processing. You will batch, image, and track claims, maintain inventory and supply orders, and communicate daily with claim managers to ensure timely completion.

The role requires attention to detail, ability to work with Excel and Access databases, and strong organizational and communication skills.