Job Description

Description

Position at Tokio Marine HCC

Job Summary

Under general supervision, provides clerical assistance to Claims Examiners and Support staff. Performs routine tasks associated with the processing of stop-loss, reinsurance, and life/disability claims.

Key Responsibilities

Key Responsibilities Intro

Relying on experience and knowledge, this role is responsible for accomplishing the following assignments. These assignments reflect substantial variety and are broad in nature.

Key Responsibilities

* Process life/disability claims by entering into system. Track the turn-around time to/from third-party administrators (TPAs) and/or carriers.
* Ensure forms needed are provided to auditors for processing claims.
* Enter received mail (initials and supplements) into document management system under the proper claimant.
* Input all claims department information into system such as received mail and log all mail received for production tracking purposes daily.
* Distribute the mail to the proper Auditor.
* Scan all letters and documents received to the proper claimant.
* Retrieve and return claimant files on a daily basis as needed by the Auditors.
* Create new claim folders when a new claim is entered into the system.
* Pull checks requested by auditors from all checks received.
* Run outstanding reports for supervisors for production purposes twice a day.
* Prepare files and ship the files to off-site storage. These are files that are finalized and are not needed on a regular basis. Pull off-site storage files as requested by Auditors.

Competencies

Planning

* Follow work plans, established timelines, and predefined goals for assigned work.

* Meet commitments on deadlines.

Communication

* Possess strong customer focus and high service level relationship with clients.

Cost Management

* Perform work thoroughly in a cost-efficient manner and at a high productivity level.

* Utilize company resources effectively.

Business Controls and Policies

* Comply with all corporate policies and procedures.

* Take all reasonable steps to safeguard company assets against waste, loss, unauthorized use, and misappropriation.

* Report any breakdown in controls to a supervisor or manager.

People Management

* No people management responsibility

* May orient, train, assign, or review the work of less experienced employees.