Sr Claims Assistant

Beacon Mutual Insurance Company; Warwick; On-site; GBP 25,000 - 35,000; Full time

Job description

The Sr Claims Assistant will work directly with internal departments, external customers (policyholders, agents, medical providers, and claimants), and vendors (including surveillance vendors, medical case management providers, and ergo providers) to coordinate transactions, address emerging issues, and implement best practices in our procedures.

Key Responsibilities:

1. Provide Policyholders value by creating first report of injury notices
2. Create new notices of loss and advise stakeholders on any concerns related to a loss.
3. Key, proofread, and distribute critical information to relevant parties.
4. Update and establish legal entities according to set protocols.
5. Assist policyholders with claims reporting requirements.
6. Troubleshoot and resolve issues as they arise.
7. Support Claims Operations
8. Monitor and manage workflow item requests.
9. Prepare and distribute form letters as needed.
10. Respond to requests for medical documentation.
11. Retrieve and respond to voice mail messages from the general mailbox.
12. Check Handling, mailing, reconciliation
13. Update claim information.
14. Provide class code corrections and resolve batch payment issues by investigating errors and facilitating corrections.
15. Print files upon request and manage duplicate records.
16. Offer support services for special mailing requests.
17. Maintain accounting functions related to check reversals, reissues, and stop payments.
18. Coordinate with Accounting on escheat operations for uncashed check reversals and streamline the process with adjusters.
19. Apply cash receipts efficiently and assist with Medicare reporting.
20. Regulatory Support
21. Document receipts of liens for Medicare, Medicaid, and Child Support.

Qualifications:

1. High School Diploma or GED required.
2. Minimum of 3 years of experience in a clerical and customer service support position.

Why Work Here:

1. Competitive Salary along with a broad range of compensation initiatives.
2. Comprehensive health plans, life insurance, and wellness programs.
3. Generous vacation time, plus telecommuting and flexible schedule options.
4. Retirement savings plan and 401(k) educational programs.
5. Access to learning and development opportunities for professional growth.
6. A friendly and supportive atmosphere where teamwork and knowledge sharing are prioritized.
7. Work-family balance supported through flexible arrangements.
8. Dedication to the health and wellness of our employees—Beacon is a proud recipient of multiple Worksite Wellness Awards.
9. Beacon is an equal opportunity employer. We believe that fostering a lasting culture of inclusion and belonging is the most effective way to attract, develop, and retain a diverse workforce.