Under direct supervision, performs a variety of claim clerical support duties for the Claim Department

• 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&H 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&D, 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.

• 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

Think all TPAs are the same? Think again. With Broadspire, our leading global third-party administrator (TPA), Crawford & Company is the consultative outsourcing partner that adapts to businesses needs and challenges at any point of the claims processing journey. We offer casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics.

As part of the One Crawford family, Broadspire brings together the best and brightest people in the industry to deliver smart, thoughtful solutions to our clients, and we are guided by our collective value system: RESTORE.

At Crawford, we:

• Respect our culture of integrity and ethical behavior, while embracing the unique talents of the individual and encouraging an ownership mentality among everyone.
• Are Empowered to advance the company mission and take ownership of our individual career progression.
• Promote Sustainability through a corporate culture in which employees are good stewards of their communities.
• Emphasize Training and an environment where employees continually seek and share knowledge and are engaged and satisfied with their work.
• Are One Crawford, embracing a global mindset thats inclusive, agile, mission-focused, and customer-focused.
• Give Recognition, participating in an environment where people are rewarded for jobs well done.
• Embody an Entrepreneurial Spirit, sharing a passion to succeed, innovate, and outpace our competitors.

We believe in leading by example at work and in our communities. 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 mission, vision and values. Learn more at www.crawfordandcompany.com.

In addition to a competitive salary, Crawford offers you:

• Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries
• On-going training opportunities through every stage of your career
• Strong benefits package including matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

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.