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Specific Claims Assistant I in Kennesaw, GA at Tokio Marine HCC

Date Posted: 10/5/2018

Job Snapshot

Job Description

The Stop Loss Group, a member of Tokio Marine HCC, offers an extensive product portfolio including medical stop loss, group term life and long and short-term disability insurance. We provide the self-insured industry with innovative solutions to protect self-funded employers from potentially catastrophic losses.

We have an exciting opportunity for a Specific Claims Assistant I in our office in Kennesaw, GA.

 

Position Summary:

Under immediate supervision, perform routine clerical tasks associated with the processing of stop loss, reinsurance, and life/disability claims.

Key Responsibilities:

Relying on standardized instructions and pre-established guidelines, the Claims Assistant I is responsible for accomplishing the following as guided by others. These assignments are routine in nature.

• Enter received mail (initials and supplements) into PA under the proper claimant.
• Input all claims department information into PA such as received mail and daily, log all mail received for production tracking purposes.
• Distribute the mail to the proper Auditor.
• Scan all letters and documents received to the proper claimant.
• Retrieve and return claimant files on a daily basis as needed by the Auditors.
• Create new claim folders when a new claim is entered into the system.
• Pull checks requested by auditors from all checks received.
• Run outstanding reports for supervisors for production purposes twice a day.
• Prepare files and ship the files to off-site storage. These are files that are finalized and are not needed on a regular basis. Also pull off-site storage files as requested by Auditors.
• Process life/disability claims by entering into system. Track the turn-around time to/from TPA’s/Carriers.

Planning
• Follow work plans, established timelines, and pre-defined goals for assigned work.
• Meet commitments on deadlines.

Communication
• Develop strong customer focus and high service level relationship with clients.

Cost Management
• Perform work thoroughly in a cost efficient manner and at a high productivity level.
• Utilize company resources effectively.

Business Controls and Policies
• Comply with all corporate policies and procedures.
• Take all reasonable steps to safeguard company assets against waste, loss, unauthorized use and misappropriation.
• Report breakdown in controls to a Supervisor or Manager.
 

Job Requirements

Position Knowledge, Skills, and Requirements:

Education
• High school diploma or equivalent

Experience
• Up to two years of relevant experience

Other
• Possess and have ability to apply basic knowledge of principles, practices, and procedures
• Good written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
• Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
• Proficiency and experience using Microsoft Office Package (Excel, Access, PowerPoint, Word)

 

The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer. Please visit www.tmhcc.com for more information about our companies.

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