Administrative Claims Specialist, PIP
Plymouth Rock Assurance · Woodbridge, New Jersey, US
The Administrative Claims Specialist will be responsible for performing administrative and other duties as assigned. Responsibilities include but are not lim...
Job description
The Administrative Claims Specialist will be responsible for performing administrative and other duties as assigned. Responsibilities include but are not limited to the following: RESPONSIBILITIES - Manual data entry of lawsuit information and medical claim bills in a paperless environment using dual monitors. - Research and indexing of legal related mail for claim updating and assignment - Keying of Claims checks including expenses, arbitration settlements, interest, etc. - Provider Service Unit Operator; utilizing customer service skills to provide information to medical providers regarding billing, and/or treatment requests. - Ability to use all available applications to answer questions, within our guidelines, prior to transferring calls. - Project Handling; Knowledge of Microsoft Excel, Word and Outlook. Perform research and compile data onto an excel spreadsheet for analysis. - Report generation and distribution. - Review of Medical Bills; Review accuracy in billing, pre-certification compliance in accordance with the Decision Point Review Plan, and application of proper bill adjudication. - Participate in proactive team efforts to achieve departmental and company goals. - Pe...