Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
-Daily dispatching duties of claims for Desk Review Department
-Work within team for alignment and resolution
-Perform a variety of clerical duties
-Run dispatch related reports
-Explore, analyze and evaluate information
-Handle conflict resolution
-Review claim notes for proper handling
-Other duties as assigned by management or as needed