Claims Processing Clerk

Job Purpose : Issues insurance policies by receiving, reviewing, and verifying insurance policy applications an claims forms; creating policyholder files; calculating premiums, adjustments, refunds, and payments; resolving discrepancies; answering questions for policyholders.

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Duties :

• Prepares work to be accomplished by sorting, organizing, and recording insurance applications and claims forms.
• Verifies insurance policy applications and claims forms by reviewing completeness and accuracy; resolving discrepancies and problems; contacting applicants, agents, or claimants for clarification or additional information; referring questions to policy underwriters and claims adjusters.
• Updates existing insurance policies and claims by adjusting policyholder and claimant information; recalculating premiums; adding reinstatements; calculating and authorizing refunds, adjustments, and payments.
• Prepares new insurance policies by creating policyholder file; entering policy information.
• Calculates premiums by comparing policyholder information to rate standards; referring variances to underwriters.
• Helps policyholders by answering questions and responding to requests.
• Prepares information and reports by collecting, analyzing, and summarizing data and trends.
• Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
• Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Skills / Qualifications : Claims Adjustment, Financial Skills, Documentation Skills, Analyzing Information , General Math Skills, PC Proficiency, Customer Service, Microsoft Office Skills, Problem Solving, Corporate Finance, Cost Accounting