Job Description

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Insurance > Claims Assistant

Salary National Average

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40580.0000 41450.0000 50590.0000

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Short Description:

A Claims Assistant supports the claims department by processing and managing insurance claims efficiently. They handle administrative tasks such as verifying claim information, maintaining accurate records, and communicating with claimants to gather necessary documentation. By assisting adjusters and ensuring timely claim resolution, the Claims Assistant helps maintain smooth operations within the claims process. This role requires strong organizational skills, attention to detail, and effective communication abilities.

Duties / Responsibilities:

  • Review the insurance policy to determine coverage.
  • Prepare insurance claim forms or related documents and review them for completeness.
  • Provide customer services, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
  • Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  • Post or attach information to the claim file.
  • Pay small claims.
  • Transmit claims for payment or further investigation.
  • Contact the insured or other involved persons to obtain missing information.
  • Calculate the amount of the claim.
  • Apply insurance rating systems.

Skills / Requirements / Qualifications

  • Active Listening: Giving full attention to what other people are saying, taking time to understand the points made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
  • Writing: Communicating effectively in writing as appropriate for the audience's needs.
  • Service Orientation: Actively looking for ways to help people.
  • Time Management: Managing one's own time and the time of others.
  • Customer Relationship Management CRM Software: Allied Financial Software Act4Advisors; Applied Systems Vision; Insurance Technologies ForeSight Enterprise; Tangle S Creations Your Insurance Office
  • Financial Analysis Software: Cygnus Software IncomeMax; Insurance analysis software; Insurance rating software; Underwriting software
  • Spreadsheet Software: Microsoft Excel
  • Word Processing Software: Microsoft Word

Job Zones

  • Education: These occupations usually require a high school diploma.
  • Related Experience: Some previous work-related skills, knowledge, or experience is usually needed. For example, a teller would benefit from experience working directly with the public.
  • Job Training: Employees in these occupations need anywhere from a few months to one year of working with experienced employees. A recognized apprenticeship program may be associated with these occupations.
  • Job Zone Examples: These occupations often involve using your knowledge and skills to help others. Examples include sheet metal workers, forest fire fighters, customer service representatives, physical therapist aides, salespersons (retail), and tellers.
  • Specific Vocational Preparation in years: 3 months to 1 year of preparation (4.0 to < 6.0)

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