Claim Clerk

Claim Clerk

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

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.

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.
• 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, skills, and / or abilities required.

High School diploma or equivalent required.

Proficient in Microsoft Office

None required

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Responsible 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.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

CCMSI does not provide visa sponsorship for this position.

CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.