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Overview

Superior Air-Ground Ambulance Service, Inc. is the largest independent, locally owned and operated Emergency Medical Service provider in Northern Illinois and Northwest Indiana, Michigan and Ohio. We provide wheelchair transportation, Basic Life Support, Advanced Life Support, and Critical Care Ground Transportation, as well as Critical Care Rotary Air Transportation. Much of our proven success is attributable to the exceptional, compassionate customer service provided by our employees.

Under general supervision, performs a variety of professional duties in support of the Risk and Safety Department including reviewing, examining, investigating, and analyzing Auto, Professional and General Liability and Property claims. We are looking for a detail-oriented claims processor to join our Risk and Safety team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and third-party administrators. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.

To be successful as a claim’s processor, you should have excellent organizational and interpersonal skills. You should also be able to work under pressure and perform a range of clerical functions with great attention to detail.

Responsibilities

+ Communicating with insurance agents and TPAs.

+ Preparing claim forms and related documentation.

+ Reviewing claim submissions and verifying the information.

+ Recording and maintaining insurance policy and claims information in a database system.

+ Determining policy coverage and calculating claim amounts.

+ Processing claim payments.

+ Complying with federal, state, and company regulations and policies.

+ Performing other clerical tasks, as required.

+ Order crash reports

+ Address citations

Qualifications

+ At least 2 years of experience as a claim’s processor or in a related role.

+ Working knowledge of the insurance industry and relevant federal and state regulations.

+ Computer literate and proficient in MS Office.

+ Excellent critical thinking and decision-making skills.

+ Good administrative and organizational skills.

+ Strong customer service skills.

+ Ability to work under pressure.

+ High attention to detail.

+ Provide timely processing and adjudication of claims.

+ Prepare documents and other paperwork relating to claims.

+ Take responsibility of payment of all claims in compliance with rules.

+ Respond to inquiries and resolve pertaining to specific claim issues.

+ Maintain working relationships with departments processing claims.

+ Handle claims involving loss due to fire, lightning and theft.

+ Assist staff in processing complicated claims.

+ Handle educational reimbursement, leave policy and other staff benefits.

+ Bring to notice special policy matters to the attention of the management.

+ Enter claims information into database systems.

+ Enter information into databases or software programs.

+ Prepare insurance claim forms or related documents and review them for completeness.

+ Check data for recording errors.

+ Prepare documentation for contracts, transactions, or regulatory compliance.

+ Pay small claims.

+ Execute sales or other financial transactions.

+ Calculate amount of claim.

+ Calculate costs of goods or services.

+ Post or attach information to claim file.

+ Compile data or documentation.

+ Transmit claims for payment or further investigation.

+ Send information, materials, or documentation.

+ Contact insured or other involved persons to obtain missing information.

+ Discuss account status or activity with customers or patrons.

+ Review insurance policy to determine coverage.

+ Review customer insurance information.

+ Enter information into databases or software programs.

+ Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.

Superior Air-Ground Ambulance Service, Inc. is committed to attracting and retaining the best talent. We are an Affirmative Action/Equal Opportunity Employer. Qualified applicants of all backgrounds are encouraged to apply. M/F/V/D

Salary Range

USD $25.00 - USD $29.00 /Hr. rates offered based on years of experience