Sr Claims Clerk

Crawford & Company; California (MO); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

401(k) retirement

Paid holidays

Tuition assistance

Parental leave

Life insurance

Job summary

Crawford & Company is seeking a claims clerical support professional to perform a variety of administrative tasks within the Service Center or Claim Office. Duties include file matching, data entry, mail handling, and coordinating with agents and insureds.

Ideal candidates have a high school diploma or GED with 5 years in a claims environment, and are proficient with Microsoft Office, with excellent communication skills and the ability to multitask in a fast-paced setting.

Qualifications

• High school diploma or GED required with related work experience.
• Minimum 5 years experience in claims/liability environment or equivalent.
• Basic knowledge of computer operations and claim file systems.
• Proficient in Microsoft Office suite and related systems.

Responsibilities

• Match files/claim numbers on unidentified correspondence using automated systems.
• Type letters, notices, or memorandums for medical, attorneys or clients.
• Operate Service Center/Claim Office data systems as a control operator.
• Retrieve, re-file, and maintain records of file activity.
• Receive and verify dock deliveries; prepare outgoing mail and attachments.
• Answer phones, take messages, handle faxes, and perform data entry.
• Assist in updating jurisdictional notices and office manuals.
• Pull files from storage for state audits and prepare electronic files.
• Contact agents/insured to obtain coverage information via systems.
• Issue payments and gather work status information for adjusters.
• Schedule medical appointments and handle related correspondence.
• Uphold Crawford Code of Conduct and related policies.

Skills

Attention to detail

Multi-tasking

Fast-paced environment

Oral and written communication

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Job Description

Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.

Responsibilities

• Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
• Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
• Performs control operator functions for various Service Center or Claim Office data systems.
• Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
• Receives dock and messenger service deliveries and verifies accuracy of delivered material.
• Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
• Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
• Assists in updating jurisdictional notices and manuals used in the office.
• Pulls files from storage for in-house state audits.
• Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
• Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
• Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
• Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
• Performs other related work as required or requested.
• Upholds the Crawford Code of Conduct.

Qualifications

• High school diploma or GED; or the equivalent in related work experience.
• Minimum 5 years of experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures.
• Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
• Proficient in the Microsoft suite of products and like systems.
• Must be capable of working in a fast paced environment.
• Must be flexible, adaptable, and have excellent multi-tasking skills.
• Must be technically proficient.
• Excellent oral and written communication skills are essential.

About Us

Why Crawford? Because a claim is more than a number - it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com .

Education

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:

• Competitive base pay

The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate’s previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.

Bonus/Incentive Pay and other Performance-Based Rewards, if applicable. We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:

• Medical, Dental and Vision Plans
• Prescription Drugs
• HSA, HRA, and FSA Accounts
• Paid Holidays, Vacation and Sick Leave
• 401(k) Retirement Plan
• Tuition Assistance
• Paid Parental Leave
• Supplemental Health Benefits

Other Benefits

Other Benefits currently available at no cost include: Enhanced Mental Health Support

• Virtual Physical Therapy
• Caregiving Services
• Life Assistance Program
• The above information highlights some of the benefits currently available to eligible full-time employees.
• Training programs that promote continuous learning and career progression while enhancing job performance.
• Sustainability programs that give back to the communities in which we live and work.
• A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.