Claim Clerk

• Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
• Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
• Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
• Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.The Claim Clerk is responsible for the general clerical duties for the claim personnel and other team members as assigned. Additionally, the position is accountable for the quality of claim service as perceived by CCMSI clients and within Corporate Claim Standards.
  The Claim Clerk position is a very fast paced position. It requires the ability to multi-task and prioritize as well as a lot of self-motivation. In this role you have a lot of autonomy and need to be able to motivate yourself to stay on top of your duties. A claim clerk is responsible for supporting the claims staff. Clerks receive and sort mail, enter new claims into our systems, scan, email, make and receive calls and much much more. The right person will be able to follow directions, be great at communication and also able to handle feedback.
  The position is an In Office position. There is NO opportunity for work from home in this role. It is a Monday through Friday position. It is an hourly position and CCMSI works a 37.5 hour work week with our operating hours being 8am to 4:30pm **work life balance is important to us!Responsibilities:
  • Match mail for assigned accounts.
  • Follow up on bills.
  • File claim mail and related documents.
  • Set up designated claim files and complete all set up instructions, as requested.
  • Back-Up for Receptionist
  • Summarize correspondence and medical records in the claim log notes as wells as file it in the appropriate claim, as directed by claim staff.
  • Retrieve closed files and re-file in storage.
  • Maintain claim files in storage.
  • Photocopy claim documents, as needed.
  • Return provider calls or other calls, as directed.
  • Provide support to claim staff on client specific teams.
  • Compliance with service commitments as established by the team.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, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    • 
      Excellent oral and written communication skills.
    • Individual must be a self-starter with strong organizational abilities.
    • Ability to coordinate and prioritize required.
    • Ability to operate general office equipment and perform clerical duties.
    • Flexibility, initiative, and the ability to work with a minimum of direct supervision a must. Discretion and confidentiality required.
    • Ability to work as a team member in a rapidly changing environment.
    • Reliable, predictable attendance within client service hours for the performance of this position.
    • Responsive to internal and external client needs.
    • Ability to clearly communicate verbally and/or in writing both internally and externally.
      Education and/or ExperienceHigh School diploma or equivalent required.
      Computer SkillsProficient with Microsoft Office programs.
      CORE VALUES & PRINCIPLESResponsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
      CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.

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