Claims Assistant

Summary:  Under moderate supervision and following standard procedures with some independent judgment, provides administrative support by performing the following duties:

Essential Duties and Responsibilities

1. Completes first notice of loss reports and assigns claims.
1. Interacts with policyholders and agencies to gather information on claims
2. Compiles data and completes first notice of loss reports
3. Verifies policy information for accuracy and ensures policyholder contact information is correct in system
4. Assigns claims to claim representatives by line of business and complexity of loss, including escalation of claims
5. Sets up initial case reserves

2. Analyzes, reviews, processes payments, and prepares reports, including:
1. Reconciles small claim reports as submitted within agent’s authority
2. Processes payments for independent adjuster expenses, salvage program, and pharmacy program
3. Processes reinsurance payments and prepares reinsurance reports
4. Processes payments for direct repair programs
5. Reconciles error reports for medical bill review,  glass program, roadside assistance program, 1099 reporting, and vehicle coding

3. Performs other duties as assigned.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Level 2:   High school diploma or general education degree (GED); or up to one year related experience and/or training; or equivalent combination of education and experience.