Claims Admin

The Claims Administrative Assistant will be responsible for the day-to-day clerical duties of IPMG - Claims Management Services. 

ESSENTIAL FUNCTIONS

• Ensures Claims Best Practices guidelines are followed consistently when applicable.
• Ensures that defined processes, quality standards and procedures are followed.

• Maintains files notes in accordance with established procedures.
• Provide timely information to adjusters, leadership, clients, claimants, doctors, and other stakeholders regarding the status of a pending task.
• Look at all necessary documentation to find answers prior to reaching out to adjuster for assistance.
• Understands Medicare screens to meet Section 111 requirements and assists with exception reporting to correct errors timely and accurately.
• Communicate effectively with all internal and external business partners.
• Written and verbal communication is professional and timely.

• Communicate effectively by expressing oneself in a clear and concise manner in one-one and group discussions while listening attentively in collaborative discussions.
• Foster a sense of energy, urgency, ownership, and personal commitment to work.
• Participation, coordination, and preparation in client claim reviews and booklet creations.
• Timely follow-through on all agreed action items with internal and external stakeholders that have been committed to fully execute commitments made.
• Achieves all metric goals outlined by department manager.
• Manages PTO with a team and proactive mindset.
• Partners with Administrative Vendor such as Acquire and Medcor intake forms as needed.
• Contributes to team coverage at the front desk when needed.
• Support ISO workflow and quality execution as well as expense management of the same.
• Monitor and check CMS Voicemail to ensure being checked and distributed timely each day.

• Responsible for approving insured-entered claims through the external portal and manual entry of new P&C and WC claims directly into the claims operating system with ensuring that entire file is set up to entirety and utilizes resources to ensure accuracy.
• Responsible for uploading any medical or legal bills/documents and other documents as necessary for claim set up and ongoing updates.
• Handle subrogation property claims, refunds and contribute to limited backlog.

• USPS mail and incoming faxes will be scanned and uploaded correctly into the claims.
• Emails sent by adjusters will be acted upon following specified instructions with urgency and quality.
• Prepare and mail correspondence as requested by adjusters.
• Upload documents from the various queues.
• Payments will be processed for legal bills, invoices, etc. timely and with quality.

JOB STATUS AND EXPECTED HOURS

This is a full-time position and is exempt.

IPMG’s core hours are 8:30 a.m. to 5:00 p.m. Monday through Friday, and any flexibility around that schedule must be approved by management. All employee owners must work 37.5 hours each week to maintain full-time status. Occasional evening and weekend work may be required as essential functions demand.

WORK ENVIRONMENT 

The job operates in a professional office environment and routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.

Join the A-Team and experience the A-Life!