CCMSI

Claim Assistant

US-PA-Pittsburgh
Job ID
2017-2200
Category
Claims

Overview

Vertical Claim Management (VCM) whose parent company is Cannon Cochran Management Services, Inc. (CCMSI) specializes in Healthcare professional and general liability for self-insured hospitals, health systems, physician groups and long term care facilities. We treat each client as a true partner and extension of our family. Let’s be open and honest, anyone can settle a claim or write a check… what makes VCM different is our proactive and customization to each and every client. Our goal is to be the life-long partner to each client's long-term success.

 

We are guided by core values including integrity, insisting on excellence and being passionately focused on customer service.    Those values, coupled with our Employee Stock Ownership Plan (ESOP), engage ownership with our employees and offers top of the line customer service for both our internal and external clients.  This is a perfect opportunity to work in a growing, dynamic work environment.  Our emphasis is on customer service and you will be expected to set and achieve performance goals in a challenging and growing team environment.

 

The Claim Technican - Medical Malpractice position is responsible processing needed data entry and reporting of insurance claims data under the supervision of the Claim Manager. Basic understanding of policy structure and interpretation combined with the application of processes and procedures.

Responsibilities

  • The Claim Technician will be mentored by his/her supervisor to gain a comfort level with handling all aspects of a policy, procedure and data application. The Technician will develop knowledge and skill in the concepts of professional liability and client relations while working in close contact with all members of the claims team.  
  • The Claim Technician will be reliable, have predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs.  Demonstrate the ability to clearly communicate verbally and/or in writing both internally and externally.  Ability to get along with others. 
  • The Claim Technician will be responsible for all data entry into the Claims System for all Client Programs. 
  • The Claim Technician will be responsible for pulling and preparing reports for client programs as assigned. 
  • The Claim Technician will be assigned other office functions as needed.

 

The Claim Technician will learn to:

 

  • Set up a claim file from the Notice of Claim utilizing VCM’s claims system, Trideo. Also work with other documents, such as loss runs, to reconcile our claims system.  
  • Monitor email inbox to prioritize potential exposure cases and work with the team to determine possible claims, trouble areas and escalation chart.  
  • Assist Compliance with reporting documentation to other carriers; including Excess, Reinsurance and other State and Federal agencies as instructed by Supervisor or Compliance.  
  • Assist in preparation of claims meetings, litigation management and data entry as needed.  
  • Create a high level of client satisfaction. Operate in a team environment. Support other team members to enhance overall team productivity. 

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

 Education and/or Experience                                                                    

  • 2-year college degree, and/or professional insurance designations, and/or relevant experience preferred. 
  • Familiarity with insurance and legal principals preferred. Medical malpractice and general liability concepts knowledge a plus. 
  • Ability to work independently under tight deadlines and handle multiple tasks simultaneously.
  • Strong interpersonal, written and verbal communication skills.  
  • Proficiency with MS Office Suite, general database experience, and Internet communication. 
  • Discretion and confidentiality required.

 

Computer Skills                                                               

Proficient using Microsoft Office products such as: Word, Excel, Outlook, etc.

 

Certificates, Licenses, Registrations

None

 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Object Handling Categories

Work requires the ability to lift/carry objects routinely as follows:

Light Lifting:          No lifting of objects weighing more than 15 pounds on a regular basis.

 

Other Physical Demands 

Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity

 

 

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

 

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K. 

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