Review and enter new claims and request for supporting documentation for claims disputes.

A SNAPSHOT OF YOUR ROLE

  • Initial reviews claims entered by Customers and Casestack employees

  • Assigns claims to Claims Specialists, as directed

  • Reviews documents filed with new claims and determines whether additional supporting documents are needed

  • Requests supporting documents from Customers

  • Promptly processes or redirects documents which are sent

  • Calculates vendor maximum liabilities

  • Updates and distributes weekly report (BOLs marked incorrectly)

  • Assists Claims Specialists, as needed (including/but not limited to: filing claims with carriers, attaching to ACT files decision letters and approved settlement requests)

  • Retrieves documents, then resaves and attaches to appropriate ACT/CMS claim file (supporting documents from Customers, CS BOLs, CS Order Details, checks)

  • Sends daily report for incoming claims, recovery checks and documents

  • Pull up unassigned claims for review and possible reassignment.

  • Updates and post claim rules by customer for special instructions

  • Updates and posts documents to SharePoint (claims meeting recaps, new procedures, updated contact lists)

A BIT ABOUT YOU

  • Excellent in customer service.

  • With excellent English communication, listening and organizational skills.

  • With a minimum of one year of back-end admin processing experience.

  • With a knack for multi-tasking.

  • Able to solve problems and work under minimal supervision.

  • Adept in learning new workflows and tasks.

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