NF CLERICAL SUPPORT

Legal File Clerk

File documents and mail in the legal files. Open, date, and sort the legal mail.

Essential Duties & Responsibilities:

• Send appropriate initial and follow up forms in compliance with applicable regulations.
• Timely set-up new claims.
• Index and route mail including doc typing and setting task descriptions.
• Make appropriate inquiry to obtain additional information required to effectuate job responsibilities.
• Timely complete and maintain mailing logs.
• Support the timely delivery of mail and files to the claims professionals.
• Obtain and follow up for W9's; keep, preserve and organize returned W9's.
• Copy files.
• Fee Schedule NF billing including generation of EOB's.
• Maintain records and provide information to generate production reports.
• Assist in check request and preparation process.
• Assist in preparation of denials and delays.
• Assist in preparing a file for IME or Peer Review for the vendor.
• Assist in identified initiatives or projects.
• Assist in effectuating the dosing of files.
• Telephone contacts with claimants and providers.
• Facilitate the generation of pay requests.
• Facilitate the referral for TOA investigations.

Other Duties:

This job description in no way states or implies that these are the only duties to be performed. You will be expected to follow any other job-related instructions and to perform other job-related duties as requested by your supervisor.

Qualifications:

Basic but evolving knowledge of the applicable No Fault claims and applicable regulations and litigation.

Hereford Insurance Company