Claims Associate - Full-Time Clerical Position (In Office)


Job Details

Overview:

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI:

    • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
    • Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
    • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
    • Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

The Claim Associate role is an in-office position is available Monday through Friday, from 8:00 AM to 4:30 PM. The role is a clerical position assisting a team of workers' compensation adjusters. Previous office experience is desired, and previous insurance office or claims experience is helpful. The Claims Associate will be working on a dedicated account and will provide general clerical duties for the claim personnel and other team members as assigned. They will be accountable for the quality of claim service as perceived by CCMSI clients and within Corporate Claim Standards.



Responsibilities:

  • Responsible for setting up designated claim files and completing all set up instructions, as requested.
  • Summarize correspondence and medical records in the claim log notes as well as file same in the appropriate claim.
  • Will make referrals to outside vendors on designated cases under direct supervision.
  • Responsible for photocopying claim documents, as needed.
  • Responsible for returning provider calls, as directed.
  • Will follow up on bills.
  • Responsible for releasing adjuster approved payments.
  • Backup for Receptionist and mail processing
  • Provide support to claim staff as needed.
  • Performs other duties as assigned.


Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Associates degree or two years related business experience.

Knowledge of medical terminology required.

Computer Skills

Proficient using Microsoft Office products such as, Word, Excel, and Outlook

Certificates, Licenses, Registrations

none required.

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.

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 CCMSI

 07/01/2024

 Scottsdale,AZ