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Communicating effectively with the employer, insurance company, and TPA to understand the reasons for past due balances and identify solutions to prevent accounts from reaching this status; Experience working in outbound call center preferred.
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Processes claim payments for escrow to TPA, Rental Car payments, and other payments as assigned, maintains record of accounts; prepares correspondence and backup information in support of payments and assures they are properly loaded and tracked into the claims management system.
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Evaluate third-party administrators (TPAs) and install TPA or carrier alongside client. Remain current with Carrier and TPA service and technology capabilities, industry trends, development around key case law, and industry claims solutions.
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May Support analysts with reporting claims to insurance carrier/TPA when needed. This position will also provide administrative support with answering phone inquiries, receipt and processing of claims documents and records within an electronic environment, safety data entry and reports, processing payments, preparation, and distribution of correspondence, and other clerical/administrative functions under the direction of the Claims Manager.
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