Hybrid Claim Operations Analyst - Data, EDI & Compliance

ProAssurance; Lancaster (Lancaster County); Hybrid; USD 23.000 - 38.000; Vollzeit

Benefits dieser Stelle

Best-in-class benefits

Zusammenfassung

ProAssurance in Lancaster, PA, is seeking a Claims Support professional to provide technical support to the Claims Department and ensure regulatory timelines are met. The role includes processing claim documents, wage statements, and data entry, with hybrid work 2–4 days per month from the Lancaster office.

You will interact with agents, injured workers, providers, and internal teams, applying analytical skills, attention to detail, and confidentiality.

Qualifikationen

• High school diploma or GED required with a minimum two years of insurance or related experience.
• An associate’s degree is preferred.
• A bachelor’s degree may substitute insurance experience.
• Proficiency in Microsoft Office computer applications; ability to learn new computer software applications.
• Analytical ability, to analyze and interpret information; request more information when needed; and make appropriate decisions regarding a course of action.
• Attention to detail in processing all information, establishing priorities and meeting deadlines.
• Solid analytical and problem-solving skills, including formulating logical and objective conclusions.
• Ability to assess the urgency and importance of a situation and take appropriate action.
• Ability to communicate effectively and professionally both verbally and in writing with various constituencies and at all levels; both in and outside of the organization including agency partners, outside customers and clients.
• Ability to operate standard office equipment including, but not limited to, copiers, fax machines, etc.
• Ability to maintain confidential information.

Aufgaben

• 40% - Complete accurate information on claim documents and ensure proper mailing in accordance with regulatory requirements and Company procedures; Complete accurate information according to state specific EDI trigger guidelines. Analyze data and fix errors/rejections returned from individual jurisdictions.
• 35% - Enter accurate data into the computer system to make accurate indemnity and expense transactions as approved and directed by the claims representative daily.
• 10% - Assist Claim Representative through the accurate completion of wage statements and calculation of partial compensation.
• 5% - Respond to telephone inquiries from agents, customers, injured workers, and providers in a professional, courteous and timely manner, providing high levels of customer service at all times.
• 5% - Participate in department meetings as needed; provide general office support through copying and faxing documents.
• 5% - Other special projects as assigned.

Kenntnisse

Analytical ability

Attention to detail

Communication

Problem-solving

Confidentiality

Time management

Ausbildung

High school diploma or GED

Associate degree preferred

Bachelor's degree may substitute insurance experience

Tools

Microsoft Office

Jobbeschreibung

ProAssurance in Lancaster, PA, is seeking a Claims Support professional to provide technical support to the Claims Department and ensure regulatory timelines are met. The role includes processing claim documents, wage statements, and data entry, with hybrid work 2–4 days per month from the Lancaster office.

You will interact with agents, injured workers, providers, and internal teams, applying analytical skills, attention to detail, and confidentiality.