Job Description

At this time a CLAIMS PAYMENT SPECIALIST is needed to process claim payments in an efficient manner by cross referencing labor and parts prices, verifying the accuracy of final orders and paying claims utilizing an electronic claim payment system and over the phone.

ROLE AND RESPONSIBILITIES:

• Analyze final RO’s against original claims authorization. (Cross reference labor & parts prices)
• Update miles on claim if final repair order comes over different than when claim was started.
• Mark dealer upsells in the system by selecting the check box.
• Provide the one-time use credit card to the repair facility using VPAY via fax or email.
• Call the repair facility and pay claim by giving the credit card number and approved amount when applicable.
• Forward Florida & Wisconsin claims over to Assurant for special payment processing.
• Send check payment requests over to Accounting Department.
• Forward reimbursement requests to the claims team.
• Handle incoming calls regarding the status of payment or how to submit payment requests.
• Communicating with customers through various channels (phone and email).
• Document customer interactions into system by providing detail of what occurred during the call.
• Request the credit card receipt is faxed over to 440-848-8536.
• Run the settlement report daily.
• Mark the claim paid in the system by the information in the settlement report.
• Run the failed fax report twice per day.
• Match the credit card receipts with the original claim and attach the receipt to the claim.
• Dispatch incoming emails to claims team, when needed.
• Run the weekly pre-paid maintenance reports on Monday’s.
• Process vendor invoices by issuing payments & balancing claims.
• Scan various documentation as support to the claims team, when needed.
• Dispatch RV maintenance to the RV Maintenance Processor.
• Update the system on Monday’s using the unpaid claims report.
• Assist with overflow calls with the Cancellations & Transfers.
• Strives to enforce and live the NAE/NWAN Philosophy of CQSE each and every day.
• Takes ownership of changes and personally responsible for managing change in an upbeat positive manner.
• Other duties as needed.

QUALIFICATIONS AND EDUCATION REQUIREMENTS:

• High School Diploma or equivalent.
• High level attention to detail.
• At least 2 years of prior customer service experience.
• Ability to multi-task, prioritize and manage time effectively.
• Strong phone contact handling skills and active listening
• Ability to type 40 or more words per minute.
• Be able to compose business emails.
• Strong customer service and communication skills.
• Proficient in Microsoft Excel and other Microsoft programs.
• Ability to maintain confidential information.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

• Normal office environment.
• Ability to frequently sit for long periods of time.
• Ability to occasionally walk, stand, reach with hands and arms, stoop, kneel or crouch.
• Ability to spend extended hours in front of a computer screen and use close vision, distant vision and depth perception.
• Ability to lift at least 20 pounds.

PREFERRED SKILLS:

• Understanding of claims process and procedure.
• Previous balancing experience as a cashier or working in a dealership setting
• At least 1-year experience in a call center.

INDSP