Claims Assistant Job Vacancy in COPIC Denver, CO 80230 – Latest Jobs in Denver, CO 80230

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Company Name : COPIC
Location : Denver, CO 80230
Position : Claims Assistant

Job Description : BASIC PURPOSE OF THIS JOB: Support Claim Consultants in administrative and secretarial duties. Process occurrences and Claims AP Finance.
REQUIRED QUALIFICATIONS AND SKILLS:

2-3 years’ experience in a similar position (administrative, accounts payable, paralegal, etc.);
Strong computer skills in word processing and proficient in Microsoft Office;
Good people skills, detail orientated and strong organizational skills;
Pleasant and helpful temperament with the ability to work in harmony, while exhibiting a team player attitude;
Promote a positive organizational image to the internal and external community;
Exercise good judgment while maintaining a high quality of work with little supervision.

DESIRED QUALIFICATIONS AND SKILLS:

Law firm experience with litigation terminology knowledge;
Knowledge of the healthcare industry;
Ability to identify problems and provide resolutions quickly and efficiently

WORKING CONDITIONS:

Regularly required to stand, sit, talk, hear, and use hands and fingers to operate a computer keyboard and telephone;
Ability to bend, stoop and carry light to moderate weight (e.g., 20lb box)
Ability to uphold the stress of working under deadlines
Work hours are to be discussed with supervisor to meet the needs of the organization. Overtime may be required

ESSENTIAL FUNCTION #1: OBJECTIVE:  Administrative
Percent of time: 30%

Sort and distribute mail to department staff.
Restock supplies as needed.
Check outboxes once in the morning and once in the afternoon.
Timely complete regulatory reports.
Prepare, file and distribute letters.
File requested documents for claims consultant.
Calendar and schedule meetings for claims consultant.
Calendar court dates and case related activities for consultants.
Assist Claim Consultants with daily activities as required.
Additional duties assigned by claims manager.

ESSENTIAL FUNCTION #2: OBJECTIVE:  Occurrence Reports & Claims
Percent of time: 20%

Occurrences should be removed from the log and distributed to the Claims Manager twice daily.
Occurrence Process:
Occurrences should be opened within 24 hours of receipt from the VP/Claims Manager. This includes reopens and adjuster contacts.
The applicable declaration pages and policies are to be put in every opened claim and suit file.
For suits, a certified copy of the declaration page(s) and policy should be requested from underwriting and placed in the file.
Acknowledgement letters should be mailed to the insureds and a copy of the letter placed in the file.
Closed Claims: Closed claims should be completed within a reasonable time of the request.

ESSENTIAL FUNCTION #3: OBJECTIVE:  Claims Committee & Roundtable Meetings
Percent of time: 20%

Responsible for the coordination of all paperwork for the meeting.
Once the schedule is finalized, make sure you create a redacted schedule. Include the appropriate title (M.D., D.O., etc.) as well as specialty.
Prepare a copy of the unredacted schedule with subtitles to Claims Management and Senior Management. Once reports are submitted, review the medical records given to you by the claims consultants as well as the reports for redactions.
All names (Patient name, Doctor Names, Facility names, Signatures, Initials) in the reports and medical records will need to be redacted.
Your consultant should provide you with CD’s containing medical images. These images need to be imported to the PACS system.
Create a reserves packet for Claims Management and Senior Management.
Upon completion, assemble packet electronically and post online.

ESSENTIAL FUNCTION #4: OBJECTIVE: Claims AP & Datalytics
Percent of time: 20%

Update all attorney information needed to process payments to law firms.
Assist claims consultants with any errors in the datalytics system.
Pull datasets off the U drive for bill payment processing; process all settlement checks and distribute the same.
Coordinate with finance to ensure timely bill payments.
Other work needed to ensure timely payment of all claims bills.

ESSENTIAL FUNCTION #5: OBJECTIVE: eOasis Database/Image Right
Percent of time: 10%

Input diary dates, litigation information, reserve changes, status changes, and look up data on insureds.
Open claims and lawsuits.
Associate appropriate coverage and input policy information.
Process CODAT reports as requested by consultants.
Become proficient on all systems utilized in the Claims Department.

NOTE: Job duties and/or qualifications are subject to change at any time. 
 
About COPIC 
COPIC’s mission is to improve medicine in the communities we serve. We strive to be the premier diversified service organization providing professional liability insurance and other needs of the health care community through advocacy, innovation, and the commitment and dedication of our employees.  
 
We offer competitive wages, a comprehensive and highly sought-after benefits package including health, dental, vision, life insurance, long term disability, employee assistance program, 401(k) plan, pension, short term disability, paid time off and holidays, and a great work environment with fun, friendly people who truly enjoy their work. Hiring range for this position is $21.21/hourly to $25.45/hourly.
Job Type: Full-time
Pay: $21.21 – $25.45 per hour
Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Professional development assistance
Referral program
Retirement plan
Tuition reimbursement
Vision insurance

Physical Setting:

Office

Schedule:

8 hour shift

Experience:

claims/insurance: 2 years (Preferred)
litigation terminology: 1 year (Preferred)

Work Location: One location

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