Primarily responsible for supporting the management of the all files by analyzing, indexing, e-indexing, and assigning a sub document type to all documents received by Departments within the Enterprise. Also responsible for identifying key information on documents and inputting information into the keywords of the document and in the appropriate data fields in the claim system.

PRIMARY RESPONSIBILITIES

Analyzes incoming documents and assigns the appropriate document sub type to them Reviews each document and adds pertinent information to the document keywords and to appropriate data fields in the claim system Opens, sorts, prepares, bundles, scans, and validates/verifies physical and electronic mail for all departments daily. Determine appropriate criteria to accurately index an electronic image to initiate workflow to the proper department. Performs computer inquires through multiple systems for other departments and verifies member coverage. Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages whether physical or electronic. Maintains scanning equipment in appropriate working order according to documented guidelines. Maintains records according to the corporate retention guidelines. Maintains a basic understanding of other department processes and systems to enable accurate interpretation of documents. Performs data entry updates to tracking log for all returned Claims issued checks. Re-indexes and appropriately routes documents that have been assigned an improper document type or have been attached to an incorrect claim Sets priority activities to claim handlers as appropriate upon receipt and review of documents Performs other duties and special projects as requested. Assists with the creation of procedural documentation and workflows. This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS

EDUCATION

REQUIRED

High school diploma or G.E.D required with additional training or college-level course work in business or insurance. Combinations of education and experience may be considered in lieu of additional training or coursework.

EXPERIENCE REQUIRED

Minimum two years general office experience that includes previous relevant experience reviewing and providing specific document types to scanned images.

SKILLS/KNOWLEDGE/ABILITIES

(SKA)

REQUIRED

Excellent verbal and written communication skills. Excellent customer service skills. Basic knowledge of computers and spreadsheet software. Basic knowledge of word processing software. Ability to proofread correspondence for accuracy of spelling, grammar, punctuation, and format. Ability to work effectively with various business units. Ability to be an independent thinker to solve issues. Ability to manage multiple priorities and meet established deadlines. Excellent organizational skills and ability to prioritize work. Ability to verify data for accuracy. Knowledge of medical terminology. Knowledge of legal terminology. Ability to train and coach others to perform the core responsibilities. Ability to assist with the creation of procedural documentation and workflows. Knowledge of multi-functional telephone system. Ability to multi-task i.e. interacts on telephone while entering data

ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED

Previous experience in the workers' compensation field. Previous experience with medical records, medical terminology and administrative support. Experience working with scanned images/document management system. Experience with state/legal documents. Insurance Institute of America (IIA) Certification Experience in Workers' Compensation Claims Processing.

WORKING CONDITIONS

Work is performed in an office setting with no unusual hazards.