Support Clerk (Claims)

Insurance Administrative Solutions Clearwater, FL
JOB SUMMARY: Provide support for the Underwriting Department.

Comprehensive Customer Service Experience Needed - Fast Pace Environment - AWD Experience - Medicare Supplement a Plus

ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary):

* Must be able to work scheduled shift and if needed, rotate schedules with other employees for proper departmental staffing needs and/or work Overtime as needed.

* Answering and documenting phone calls from a call center environment.

* Make outgoing calls to verify information with the applicant(s) or agent(s).

* Ability to type letters for amendments, additional requirements, declines, not takens and problems.

* Process Check Requests for declines, not takens and overpayments.

* Process and input additional CWA.

* Follow-up on application and agent problems.

* Calculate premium difference and rates using mathematical skills: ability to add, subtract, multiply and divide.

* In a workflow system, match facsimiles and mail received to the appropriate file.

* Follow-up on all pending requirements.

* Process applications with stop payments placed on the check.

* Process pending requirements when received and update the database.

* Generate follow-up letters on all problem applications.

* Must be able to work in an environment where procedures change frequently.

* Understand Federal and State requirements for open enrollment, guarantee issue and underwritten applications.

* Update the database with all the appropriate information.

* Prep files by creating an image coverage sheet and separate each item with a separator sheet for the imaging department.

EDUCATION/EXPERIENCE:

* Minimum of one (1) year related experience required.

* Experience in medical terminology preferred.

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