Claims- Clerk

Essential Duties and Responsibilities

1. Perform a variety of clerical duties;
2. Process and document information in claims system from sources such as incoming letters and phone calls;
3. Input medical information to claims system;
4. Run claims related reports and other reports as needed;
5. Interpret the insurance policy and determine if coverage is afforded.
6. Interpret the traffic laws according to the state, city where accident took place and determine if insured contributed to the accident.
7. Offer customer service to both our internal and external customer.
8. Explore, analyze and evaluate information
9. Guide customer through the claims process.
10. Handle conflict resolution
11. Review estimates/damages being claimed
12. Identify potential fraud indicators
13. Secure statements, identify exposures, and reserve accordingly.
14. Other duties as assigned by management or as needed.

Qualifications/Requirements

1. Meet state licensing requirements
2. Be able to work flexible hours
3. Have the ability to work independently
4. Excellent organization skills
5. High school diploma or college preferred
6. Must speak clearly and professionally

Education/Training/Experience

1. Insurance  related experience preferred
2. P&C Licensed