Claims Clerk - Accident and Health

Company: Crawford & Company
Location: Fort Lauderdale
Posted on: June 21, 2022

Job Description:

Excellence In Everything We TouchPosition Summary Under direct supervision, performs a variety of claim clerical support duties for the Claim Department Responsibilities+ Processes new claims received daily in Appian and sends out system generated letters to claimants. + Review RCCM and Diaries daily to ensure claims are processed within SLA. + Review State Adjuster license spreadsheet and assign claim to appropriate adjuster for processing and completion. + Proofreads work for accuracy; distributes all letters and memorandums for proper approval. + Contacts agents and insured on routine claims to obtain or to clarify information supplied on a loss report. + Return calls to claimants on status inquiries and routine claim questions within 24 hours. + Receives documents via US postal mail, courier and fax, matches claim number on document to claim in CMS. Scans and redacts credit card info from documents and uploads to the claim file in CMS. + Retains documents for 2 weeks and after dispose in recycle bin. + Determines proper file and claim number on unidentified claim correspondence and process accordingly. + Print letters/forms received in the Affinity Outgoing inbox from adjusters/processors, inserts into envelope and send via US postal service. + Tracks all documents received via the Document Center (i.e. outgoing mail, incoming mail, faxes and return mail) by updating the spreadsheets stored in the A shared drive. + Performs a variety of clerical duties such as creating letters, forms, reports or memorandums. Sorting/filing mail and correspondences. Assists management and adjusters as required or requested. + Assist in training new team members on various claims (i.e. Medical, AD, Travel, Halo, and Credit Card). + Operates equipment such as desktop PC, copiers; scanners, fax obtains and distributes copies as requested. + Assists in updating claim manuals and documents on shared drive. + Needs to be available and take overflow First Notice of Loss calls and enter them into TCC + Keeps supervisor informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to supervisor for direction. + Upholds the Crawford Code of Conduct. Requirements+ Education equivalent to graduation from high school supplemented by courses in typing and personal computer skills or the equivalent in related work experience. + 2 years of experience as a Claim Clerk or the equivalent demonstrating a basic knowledge of computer entry and operations. + Demonstrates good working knowledge of Claim processing and of Claim policies and procedures. + Demonstrates effective and diplomatic oral and written communication skills About Us Why Crawford? Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com. When you accept a job with Crawford, you become a part of the One Crawford family. + Our total compensation plans provide each of our employees with far more than just a great salary + Pay and incentive plans that recognize performance excellence + Benefit programs that empower financial, physical, and mental wellness + Training programs that promote continuous learning and career progression while enhancing job performance + Sustainability programs (https://www.crawco.com/about/social-responsibility) that give back to the communities in which we live and work + A culture of respect, collaboration, entrepreneurial spirit and inclusion Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. Posted Date9 hours ago(6/16/2022 5:19 PM)Requisition ID 2022-19143 Job LocationsUS-FL-SUNRISEPosition Type Regular Full-Time Category Claims Business Unit Broadspire

Keywords: Crawford & Company, Fort Lauderdale , Claims Clerk - Accident and Health, Other , Fort Lauderdale, Florida