Claims Technical Assistant - Charlotte. NC (Hybrid)
$46k - $59kSelective Insurance
Overview Selective Insurance is seeking a Claims Technical Assistant for our Workers Compensation group. This is a hybrid role and will assist the technical staff of a claims office in any manner directed to expedite the adjustment of claims. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Coordinates mail handling, scans and attaches mail to claim file, and notifies claim adjuster for necessary response, as needed, whether manually or via CCM. Mail is indexed for claim numbers and directed to the handling adjuster or supervisor in CCM or returned to the original sender. Identifies unmatched mail in WeQ and then system directed by CCM to the appropriate adjuster. May input new losses and payment information, process payments and manual checks, and/or set up files. Maintains physical files for original documents such as titles and releases, from the receipt of the claim until the resolution of the claim file. Processes and coordinates correspondence, mail, forms, and letters in ACS system, which may include electronic submissions. Takes and sends information by telephone, mail and/or fax. Follows up and diaries as appropriate. Posts data to appropriate systems and generates and maintains claim records, reports, rosters, and/or logs. May distribute both within the organization and to external sources. May pull data from external sites. May be responsible for preparing claim files for quality control audits. Answers, assists, and directs internal or external callers. May send out W-9 forms and make expense payments at the direction of the adjuster. May process straight pays and release payments in the MPRA system. Must be able to use multiple claim processing systems, including (but not limited to) MCS, ACS, CCM, EMPRA, CLAS, Claims Inquiry. May obtain medical records from paperless claims files, scanning information, and making zip files to coordinate with IME vendors and attorneys. May take first reports over the phone, by mail, or fax and processes new losses and forward first reports to the claims service center for assignment to the adjuster. May set up and distribute weekly regional conference schedules including maintaining litigation unit's trial calendar. May maintain and report monthly spreadsheets on closing ratio, new assignments and closing reserve data. May enter medical billing information in MCS. Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee's time and a valid driver's license. Provides support to the technical staff by executing financial transactions, entering data into the Claims System for accurate state and regulatory reporting, and uploading information to the Claims Content Management (CCM) system to ensure proper mail delivery to claims personnel. All responsibilities must be performed following applicable legal and regulatory requirements. Qualifications Knowledge and Requirements Excellent communication and customer service skills. Proficient in Outlook and Microsoft Office. Must have valid state‑issued driver’s license in good standing and be able to drive an automobile. Education and Experience High School diploma or equivalent preferred. Prefer 1‑3 years of claims experience. 1‑2 years previous administrative support experience preferred. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $46,000.00 - USD $59,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences – and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #J-18808-Ljbffr Selective Insurance
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