Responsible for meeting established data entry quality, production, and timeliness goals for intake of First Reports of Injury for the Claims Department.
WHAT YOU’D BE RESPONSIBLE FOR
Screens First Report of Injury mail.
Inputs new claims into the claims system
Checks new claims for policy coverage; escalates issues to the Underwriting team for resolution.
Performs quality checks on all new claims completed by vendors, entering/correcting information where necessary.
Processes and mail initial contact letters to all new setups.
Customer Service – Provide quality customer service; Appropriately respond and resolve complex situations/problems; Responds promptly to customer needs, requests for service, and assistance; Solicits customer feedback to improve service and enhance existing procedures; Responds in a timely manner; Meets commitments.
Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Dependability – Follows instructions, responds to management direction; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan.
Ethics – Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Focuses on solving conflict, not blaming; maintaining confidentiality; listenstootherswithoutinterrupting
Organizational Support – Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization’s goals and values; Supports affirmative action and respects diversity.
Attendance/Punctuality – Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments OnTime.
Initiative – Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; recognizes, initiates projects; Asks for and offers help when needed.
Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Quantity – Meets productivity standards; Completes work in a timely manner; Strives to increase productivity; Works quickly.
HOW YOU’D FIT IN
EDUCATION/EXPERIENCE: One-year certificate from college or technical school; or one to two years of related experience and/or training; or an equivalent combination of education and experience.
LANGUAGE ABILITY: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
MATH ABILITY: Ability to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
REASONING ABILITY: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
TECHNICAL SKILLS: To perform this job successfully, an individual must have knowledge of office operations, workflow analysis, data entry, and file management.
COMPUTER SKILLS: To perform this job successfully, an individual should have knowledge of Microsoft word processing software; and be proficient in applicable databases, systems, and vendor software programs.