Claims Processor

Job Description

Job Description

**This is an in-office role, based in Austin, TX. Applicants must be authorized to work for ANY employer in the U.S. Visa is not available.**

Service Insurance Companies is on the search for a Claims Processo r to join the team!

About the Role:   The Claims Processor will work closely with all Processors, Adjusters and Supervisors providing clerical and administrative support.

Responsibilities: 

• Receive, identify, sort, date stamp and distribute in compliance with each States Workers Compensation rules and statutes, and the company’s deadlines, all mail, faxes and all official State forms and letters. 
• Assists in the process of workers compensation claims and maintain claim files along with administrative work.
• Handle all certified and overnight mail.
• Enter, print, sort and mail checks for indemnity and medical claims.
• Enter new claims into system with accuracy and detail.
• Operates all office equipment.
• Answer and direct incoming calls with a professional demeanor. 
• Maintain filing; responsible for records retention and miscellaneous projects, as needed.
• Handles task assigned for different adjusters, processes State forms, police reports, Return to Provider, Cease & Desist, and Retro Utilization Review letters. Serves as back up to various Support team members. 
• Must have the ability to work in different claim systems along with other digital processes.
• Must be willing to handle other duties as assigned. 
• Assists with Electronic Data Interchange (EDI).
• Providing customer service and support for the Adjusters and Supervisors.

Experience, Knowledge & Skills: 

• Office and/or administrative experience required.
• Basic knowledge of office procedures.
• Working knowledge of MSWord and Excel.
• Ability to work with speed and accuracy.
• Must maintain a positive behavior by acting and communicating in a professional manner, to get along with customers, clients, co-workers, and management.
• Must have the ability to communicate clearly and effectively with all types of people.
• Should have good math and typing skills.
• Good oral and written communication.
• Must be detail oriented and able to prioritize.
• Nice to have: Bilingual in Spanish.

Professional Qualifications:

• High school diploma.
• Preference of Workers Compensation experience, but not mandatory.

Benefits:

Service Insurance Companies Offers a competitive benefits package including: 

• Healthcare: Medical, Dental & Vision
• Voluntary Benefits: Life, Disability, Accident and Illness Insurance
• Pet Insurance
• 401K Matching
• Generous paid time off & holidays
• Tuition Reimbursement & training
• Group discounts available

Salary Range: Starting at $52,000 ($25 P/HR). Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.