Insurance/Claims Management Associate

RESPONSIBILITIES

• Provide analysis and reporting to maintain general ledger functions.
• Administer general claims and underwriting processing to ensure insurance quotes and proposals are reflected in tracking tools.
• Support customer service delivery and resolve inquiries pertaining to claim issues.
• Maintain working relationships with departments for processing claims and distributions.

CLAIMS PROCESSING

• Review and process various claim forms.
• Verify the validity of claims and investigate suspected fraudulent claims.
• Prepare and submit claims documents for payment.
• Ensure accuracy of all accounts receivable.

DATA MANAGEMENT

• Collect and review data to determine eligibility, risk, and applicable legal or regulatory requirements.
• Maintain accurate records of all claims.
• Utilize relevant software and tools for data management.