Claim Operations Coordinator

Job description

Claim Operations Coordinator BASIC PURPOSE: Perform claim related administrative duties throughout the claim’s life cycle for all lines of business in multiple claims systems. Provide quality claim service within state requirements and corporate claim standards. Duties my include, but are not limited to, intake of claims, claim financial transactions, claim data collection and entry, and various claim compliance tasks. QUALIFICATIONS: - Triage and assign claims to Adjusters following the Line of Business segmentation guidelines and assignment rules. - Enter and confirm payments made are in line with the contracted services. Identify and escalate when invoicing is unusual or off budget. - Act as a subject matter expert to develop operational and compliance related procedures, standard work, and processes as requested. - Timely and accurately investigate, distribute and process misdirected electronic information and mail received from internal and external sources to the appropriate unit, individual, or company. - Monitor electronic queues and shared inboxes to ensure work is being performed within service levels and according to quality guidelines. Electronic queues may include thos...