Claim System Data Support Ops Analyst

Under direct supervision, provides a variety of operational support services to the Claim Department, its business partners and its clients. Qualifications Education equivalent to graduation from High School, supplemented by courses in Word Processing, spreadsheet creation or the equivalent in work related experience. One or more years experience in BSI Claim Systems/Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations. Demonstrates effective customer relations skills. Demonstrates sound analytical skills. Demonstrates effective and diplomatic oral and written communication skills. Demonstrates ability to work accurately with attention to detail and customer expectations. Demonstrates a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting.

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Assists and participates in the analysis of internal operational procedural changes/workflows and requirements. Determines business impact and recommends and/or initiates appropriate action. Assists and participates in the research, writing, publishing and maintenance of operating procedures and user manuals. Provides guidance and/or training to Claim Offices on existing claim systems and procedures. Provides assistance to various BSI and Kemper Departments identifying, researching and correction of indicative and financial data errors. Responsible for monitoring and handling appropriately various reports; i.e NY Surcharge, IRS, DASD Exception, 180 Day Stale Date, SPCP etc. within a specified period of time. Processes various vendor invoices via bulk pay file procedures. Provides assistance to the Printing Facilities in relation to damaged checks, checks requiring additional or corrective mailing information/instructions. Receives reimbursement checks to be applied to claim files and or miscellaneous checks for subpoena/copy/witness fees. Maintains applicable log books as well as adheres to established guidelines of applying reimbursements to claim files and/or mailing of reimbursement/miscellaneous checks to appropriate lockbox. Ensures manual payments for Law Invoices for various laws firms utilized by Kemper Insurance are applied to the claim files in a timely manner. Provides assistance on various projects that are assigned to Claim Operations for handling to completion. Provides back up coverage when required and/or requested on one or more responsibilities within the Department. Develops and maintains a favorable working relationship with internal and external customers. Keeps abreast of internal claim system changes and developments that impact the Claim Systems/Operations area. May serve as DRP back up for Teleplus. #J-18808-Ljbffr Crawford & Company