Claims Assistant

Working at RCM&D and SISCO is ideal for those seeking a challenging, rewarding and upwardly mobile career in risk management, insurance and employee benefits. Dedicated to fostering their continued success and growth, we are deeply invested in our employees.

Job Summary:

This full-time position is responsible for many administrative tasks to support the claim adjusters and consultants for claims of various lines of insurance, predominantly workers’ compensation.

Essential Functions:

• Responsible for accurate data entry, including claims and payments.
• Generates, prints and mails form letters.
• Downloads and files ISO claim searches.
• Pulls and files jurisdictional forms.
• Copies/prints documents.
• Opens, reads, prioritizes, sorts, scans and distributes paper and electronic mail.
• Files and maintains document storage in the claim system.
• Completes tasks as assigned by adjusters.
• Answers telephones, handles inquiries appropriately, and claim intake from insured.
• Prints and mails contact letters, FROIs and medical explanation of benefits daily.
• Sets up new claims as needed.
• Files faxes daily to the appropriate claim.
• Logs Jurisdictional Mail such as hearings, awards, etc. for Workers’ Compensation adjusters.
• Review documents for accuracy before mailing to claimants/providers.

• Respond timely to client inquiries
• Understand and stay current with technical and professional standards.
• Provide good customer service both internally and externally.
• Participate in special projects at management’s request.

• Possess time management skills to prioritize tasks and projects effectively to meet deadlines.
• Requires regular and consistent attendance, reliability, attention to detail and dependability in fulfilling obligations.
• Additional job duties as assigned.

Minimum Education / Abilities / Skills:

• High School diploma or equivalent(college preferred)
• Excellent interpersonal skills for positive interaction with customers and co-workers, supporting the team concept of the department.
• Ability to work on several concurrent tasks and prioritize workload independently with limited supervision.
• Ability to learn third party computer programs/sites.
• Ability to identify, analyze and solve problems.
• Be a team player with a positive attitude and willingness to learn; work collaboratively with internal and external stakeholders.
• Possess strong oral and written communication skills.
• Demonstrates accountability and is able to manage and meet expectations of co-workers and adjusters.
• Ability to work under pressure and meet deadlines and deliverables; is highly responsive to internal and external stakeholders’ needs and requests.
• Demonstrates agility and is able to multi-task, as well as pivot to changing priorities, as circumstances warrant.
• Projects confidence in interactions with colleagues and clients.
• Work and adapt to people with different work styles.
• Contribute to team efficiency by sharing knowledge and best practices.

• Has a strong attention to detail
• Possesses solid organizational, time management and project management skills.
• Proficient with Microsoft Office Suite.

RCM&D, a Unison Risk Advisors company and founding member of Assurex Global, is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Finding and cultivating talent is a hallmark of our organization. RCM&D looks for the best and brightest risk management, insurance and employee benefits professionals to join our firm. As a growing and vibrant business, we also recruit savvy marketing, sales, finance, human resources, technology and administrative colleagues to manage and operate our business.