Skip to main content

This job has expired

Claim Assistant

Employer
Davies Claims Solutions
Location
Nashville, Tennessee
Salary
Salary commensurate with experience. Excellent benefits package offered.
Closing date
Apr 20, 2021

View more

Category
Claims
Job Type
Full Time
Career Level
Experienced (Non-Manager)

Job Details

SUMMARY

Receives loss notices by phone or fax and forwards to the appropriate adjuster or supervisor.  May enter claims into the claims system and supply pertinent information to claims adjusters.  May be responsible for creating and printing checks, setting up files and maintaining various logs and activity journals.  May be dedicated to service specific accounts or provide assistance to a technical position such as the claim manager, supervisor or account manager.  May involve data entry, word processing, filing and check writing, and ISO indexing.

JOB REQUIREMENTS:

  • Processing incoming and outgoing physical and electronic mail
  • Receive loss notices via fax or telephone
  • Set up claims Up loads FROI to docuclass and forward to adjusters
  • Maintain appropriate registers including refunds/recoveries and check logs
  • Complete data entry, check issuance and vouchers, ISO indexing
  • Maintain policy status information, required logs, and monthly reports
  • General clerical duties – i.e. providing support to adjusters by sending faxes, letters, wage statements, contact cards, filing, etc.
  • May include other assigned duties
  • Paying bills
  • Forwarding medical reports
  • Calling to schedule appointments, setting diagnostic tests and therapy
  • Calling to direct billing to our bill review provider
  • Any support function outlined

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

  • Working knowledge of ASC’s organizational structure
  • Ability to understand and follow oral and/or written policies, procedures and instructions
  • Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
  • General knowledge of claims and ability to identify claims of urgent priority
  • Good communication skills, both oral and written
  • Excellent telephone and customer service skills
  • Ability to handle confidential information
  • Ability to use standard or customized software applications appropriate to assigned task. 
  • Ability and willingness to learn new skills and knowledge brought about by rapidly changing information and/or technology

Required Experience:

Prefer to have 1-3 years experience in claims office or equivalent business experience.  Must have high school diploma or equivalent.  Technology knowledge a plus. 

Company

Davies Claims Solutions provides TPA services for a variety of insurance clients and self-insured entities including public entities and private employers with employees in many states. 

The workers’ compensation TPA claims handling process includes a number of services such as nurse case management, nurse triage, medical bill review, pharmacy benefit management, telemedicine, medical provider options, return-to-work initiatives, peer review, utilization review and more. 

 

As a TPA, we provide a number of flexible client options, such as choice of nurse case management, medical provider access with PPO networks or Alternative Cost Containment, and a choice of surveillance and claims investigation. We also offers telemedicine as a managed care solution. 

 

Our U.S. claim adjusters, have an average of 25 years of industry experience.  We have a strong track record of delivering excellent financial outcomes for our clients such as averaging indemnity savings of almost a third through our pharmacy benefit management.

 

Company info
Website
Location
2501 McGavock Pike, Suite 802
Nashville
TN
37214
US

Get job alerts

Create a job alert and receive personalized job recommendations straight to your inbox.

Create alert