Intake Process Associate - Claims
What You'll Do
Description of Time Spent
- Analyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%
- Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to obtain/collect information to assist with the claim process. Fully document claim and maintain claim file for all communication. Maintain accurate monthly requirements/quality. 30%
- Initiate ways to improve the team and work efficiency. 10%
- Provide training/coaching and act as a resource for the NIGO/IGO team. 10%
- Organize, set priorities, and effectively manage caseload to ensure all requirements are met. May assist others in establishing their workload priorities. 25%
Who You Are
Qualifications
- High school diploma or GED required, or 1-2 years related work experience
- Ability to maintain a high degree of accuracy while being detail oriented required
- Must be able to work in a team environment
- Good analytical, organizational, problem solving and decision-making skills
- Ability to maintain confidentiality
- Strong verbal and written communication skills (must be able to communicate with individuals experiencing illnesses, financial losses, or deaths of loved ones as well as legal and/or medical professionals)
- Ability to maintain good public relations with customers (employers, employees, and beneficiaries