Job Description

The main function of the ADMINISTRATIVE SPECIALIST 1 is to provide administrative support for the department's management of disability claims including the set-up and distribution of new claims.

Review disability claim information received on lower liability claims; administer low maintenance claims; provide responsive customer service to claimants, policy owners, and Benefits staff.

JOB RESPONSIBILITIES:

• Provide clerical support to LTD Teams to contribute to effective management of short and long term disability claims.
• Set up new claim files, establish system records, analyze member eligibility for claims rolling from STD to LTD Provide clerical support for the department teams management of disability claims, including copying claim files and other copy requests, fiche copying, sorting mail, filing documents in claim files, medical records requests, making member address changes and other tasks as needed.
• Maintain reserves on assigned low liability claims, including making timely follow-ups for medical information and updating system records when received.
• Monitor closed overpaid claims to resolution.
• Maintain claim file inventory for department teams by purging claim files and picking up and delivering files as needed from other areas
• Perform other tasks or projects as needed.

Qualifications

• Attention to detail and accuracy; prioritize tasks to meet multiple and changing deadlines; express ideas clearly in written and verbal form; accuracy keyboard 35 WPM; customer service.
• Review documents for completeness and follow up to secure missing information; review claim facts and apply contract provisions accurately as they apply to new claims set ups and low liability claims; understand automated claim system and other computer applications.
• Working knowledge of Office equipment including word processor or personal computer.
• Basic knowledge of state and local laws and policies related to claim processing.
• Familiar with Medical terminology.

Additional Information

EDUCATION/EXPERIENCE:

• High School Diploma or equivalent. Relevant work experience or demonstrated customer service experience; or the equivalent combination of education and/or relevant experience.
• 0-2 Years' ExperienceAll your information will be kept confidential according to EEO guidelines.