Claims Service Representative II
Location: Algona, Iowa
Description: Pharmacists Mutual Companies is at present looking to employ Claims Service Representative II right now, this vacancy will be assigned in Iowa. For complete informations about this vacancy opportunity please give attention to these descriptions.
Job Details
Claims Service Representative II (000280)
Claims Service Representative II (000280)
Job Number:
000 280
Job Title:
Claims Service Representative II
Number of Openings:
1
Job Type (Employment Type):
Full time
Country:
United States
State/Province:
Iowa
City:
Algona
Application Deadline:
2018/05/15
Position Description
Pharmacists Mutual has an opening for a Claims Service Representative. This position is responsible for the first customer experience with claims. The CSR will handle administrative duties of the claims process such as; providing excellent phone communication skills, accurate entry of claim data, and serving our customers both internal and external.
Claims Service Representative II
Essential Functions may include, but are not limited to the following:
1. Talks with customers and claimants to collect and document claim information at first notice of loss.
2. Set up claim within claim system(s) and refers claims to specialized units to ensure timely contacts are achieved.
3. Processes indexing of tasks within claims system.
4. Maintains claim files and document claim file activities in accordance with established guidelines.
5. Monitors Workers Compensation claim files through third party administrator.
6. Utilizes diary management system for reinsurance purposes and to document appropriate notes.
7. Maintains and updates internal and external claim reports.
8. Monitors and audits outgoing claim checks.
9. Assists with other Claims Units as needed.
Knowledge, Skills and Abilities:
Claims Service Representative II
- Works independently within established guidelines.
Essential Functions may include, but are not limited to the following:
1. Talks with customers and claimants to collect and document claim information at first notice of loss.
2. Set up claim within claim system(s) and refers claims to specialized units to ensure timely contacts are achieved.
3. Processes indexing of tasks within claims system.
4. Maintains claim files and document claim file activities in accordance with established guidelines.
5. Monitors Workers Compensation claim files through third party administrator.
6. Utilizes diary management system for reinsurance purposes and to document appropriate notes.
7. Maintains and updates internal and external claim reports.
8. Monitors and audits outgoing claim checks.
9. Assists with other Claims Units as needed.
Knowledge, Skills and Abilities:
- Demonstrate empathy to those who suffered loss .
- Ability and flexibility to work longer hours when workload fluctuations occur.
- Research and stay up-to-date with trends and changes in the claims/insurance industry.
- Communicate effectively with others (oral and written).
- Analyze complex issues and make critical decisions.
- Correct English usage, spelling, grammar, vocabulary and punctuation.
- Maintain records, prepare reports and conduct correspondence related to the work.
- Interpret and apply laws, rules and regulation, as well as complex policy and contract coverage.
- Obtain and use sensitive information discreetly and objectively, both internal and external.
- Determines when to escalate concerns to the appropriate level of management.
- Follow oral and written directions.
- Work effectively with others in a team environment.
- Contribute effectively to the accomplishment of team or work unit goals, objectives and activities.
- Es tablish and maintain effective working relationships with those contacted in the course of work.
- Excellent customer service skills.
- Ability to organize and prioritize work.
- Work independently and demonstrate drive and initiative.
- Ability to handle multiple tasks at once.
- Ability to meet definite deadlines and deal with pressure situations.
- Collect, interpret, and input data efficiently and accurately.
- Use computer and related software effectively.
- Use Microsoft Office programs efficiently and effectively.
Position Requirements
Education, Training and Work Experience
Special Requirements, Licenses and Certificates
Claims Service Representative II
- Associate’s Degree from an accredited college or university with a business discipline or closely related field
- High School Diploma/equivalent with three (3) years of progressively responsible experience in insurance claims and/or business
- Equivalent combination of closely related education (Minimum High School Diploma or/equivalent), training and experience.
Special Requirements, Licenses and Certificates
- Education plan, special requirements and designations at manager’s discretion.
- Licensing may be required in some states.
Claims Service Representative II
- 2 years prior experience as a CSR.
- .
If you were eligible to this vacancy, please give us your resume, with salary requirements and a resume to Pharmacists Mutual Companies.
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Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
Apply Claims Service Representative II Here
This vacancy will be started on: Wed, 02 May 2018 03:14:06 GMT