We are seeking a Claims Clerk to join a reputable healthcare organization in the Roseville area. This onsite role offers an opportunity to contribute to a mission-driven company known for its commitment to quality service in the healthcare industry. The Claims Clerk will provide essential administrative and coordination support to department staff, ensuring smooth operations and efficient claims processing. This is a long term contract opportunity, with possibility to hire. The ideal candidate will have some experience in worker's compensation claims.
Pay: $23-$25/hour
100% onsite
PRIMARY RESPONSIBILITIES:
- Claims Processing & Documentation: Set up new losses, file and serve records, obtain medical records, and complete objection letters as directed.
- Mail & Correspondence Management: Process, sort, scan, assign, and distribute incoming and outgoing mail.
- Communication & Coordination: Maintain daily communication with claim examiners, hand-deliver priority documents, and distribute new loss faxes appropriately.
- File & Records Management: Retrieve, deliver, copy, and shelve claim files while ensuring proper handling of scanned documents and maintaining cleanliness in the file room.
- Reception & Administrative Support: Answer calls, greet visitors, process mail, create new loss packets, and assist with general administrative tasks.
- Compliance & Operational Efficiency: Maintain postage machine, monitor funds, coordinate overnight deliveries, handle check logs, and meet daily, weekly, and monthly goals.
SKILLS AND QUALIFICATIONS:
- High school diploma or G.E.D. required, plus at least one year of experience in workers’ compensation claims or a similar administrative role.
- Familiarity with Microsoft Office, modern office practices, data entry, and the ability to learn and implement specialized software systems.
- Strong verbal and written communication skills, ability to proofread with accuracy, and a commitment to excellent customer service.
- Detail-oriented, able to prioritize multiple projects, work independently with minimal supervision, and collaborate effectively in a team environment.
- Maintain integrity of confidential information, follow instructions, handle multiple interruptions, and meet operational demands efficiently.