Claims Assistant 2

General Definition of Work

Performs intermediate skilled administrative support work entering claims into the Association's database, preparing and processing insurance or workers' compensation claims invoices, assisting with a variety of office support activities, answering telephones, preparing and maintaining detailed and/or confidential records and files, and related work as apparent or assigned. Work is performed under the close supervision of the Claims Services Supervisor.

Position Responsibilities

• Supports the Association's "Four Pillars," Civic Engagement, Leadership Development, Legislative Advocacy, and Membership Services through the support of division or program staff and interaction with local governments and authorities.
• Knowledge of and general understanding of the programs and services offered by the Association and provides outstanding customer support that reflects well on the entire Association.
• Provides and exhibits outstanding customer service, teamwork, and organizational commitment.
• Answers telephones; provides information to County officials and staff; forwards call to appropriate parties; greets visitors; distributes incoming faxes and provides support to assigned program functions and staff.
• Enters a variety of program related information into the Association's database including but not limited to deductible payments received, workers' compensation and/or property and liability claims; ensure policy/insurance data is attached to the claim before forwarding to Claims Examiner by appropriate party; verifies statistical or other records for accuracy and completeness; enters and retrieves sensitive and restricted information into the Association computer system.
• Generates and distributes Property & Liability (IRMA) deductible invoices; follows-up on outstanding invoices. Prepare Property and Liability department bills for payment; enter vendors into Riskonnect claims system.
• Draft, update, and review for accuracy a variety of documents including Association correspondence, authorized physician panels, forms, reports, etc. where knowledge of format and presentation is necessary, answer routine correspondence independently.
• Receive, maintain, and administer documents for the Claims Department, including date stamping, logging, printing, copying, scanning, distributing via various channels i.e., postal mail, email, and uploading to information systems such as Docu-Class.
• Serves as backup to Claims Account Specialist: enter payment requests into Riskonnect claims system for approval and payment; print checks as approved by supervisor. Upload financial report to Truist for funds transmission and payment.
• Receive bills for inmate treatment, forward bills to Accuro for processing. Receive edited bill from Accuro and return bill to the County for payment.

Knowledge, Skills and Abilities

• General knowledge of standard office practices, procedures, equipment and administrative support techniques.
• General knowledge of business English, spelling and arithmetic; general knowledge of departmental and organization programs and policies.
• Skills in the use of standard office software applications, specifically Microsoft Office products, including Outlook, Word and Excel.
• Ability to type accurately at a reasonable rate of speed, make arithmetical calculations.
• Ability to follow oral and written instructions, read and understand detailed and complicated policies, procedures and materials that contain specialized words and phrases.
• Ability to operate a variety of standard office equipment including personal computer and associated software.
• Ability to establish and maintain effective working relationships with associates, claimants, local government officials, customers and the public.

Education and Experience

• High school diploma or GED and
• moderate (minimum 3 years) progressive experience in general clerical work which included customer service, or equivalent combination of education and experience.

Physical Requirements

• This work requires occasional exertion of up to 25 pounds of force.
• Work regularly requires sitting, speaking or hearing, using hands to finger, handle or feel and reaching with hands and arms and occasionally requires standing, walking, climbing or balancing, stooping, kneeling, crouching or crawling, pushing or pulling, lifting and repetitive motions.
• Work has standard vision requirements; vocal communication is required for expressing or exchanging ideas by means of the spoken word; hearing is required to perceive information at normal spoken word levels.
• Work requires preparing and analyzing written or computer data and observing general surroundings and activities; work has no exposure to environmental conditions.
• Work is primarily performed in a home office environment. Noise levels are contingent upon environment, but work should be performed in an environment that is ergonomically sound, clean, safe, and free from obstructions and hazardous conditions.

Special Requirements

Employees are required to have and maintain a high-speed, broadband internet connection at their work site that is sufficient to enable fast, consistent service for the membership. A minimum download speed of 25 Mbps is required. To ensure a consistent speed at this level, 40MB internet connection is recommended. You may check your download speed at www.speedtest.net.

Notice: ACCG employees must have a primary residence within the state of Georgia. In addition, employment candidates are subject to a background screening in compliance with established ACCG background check procedures.