Claims Administrator Job Description

Claims Administrator Job Description

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Claims administrator provides database Administration support including data transformation duties (ETL etc.), for the various database management software packages installed.

Claims Administrator Duties & Responsibilities

To write an effective claims administrator job description, begin by listing detailed duties, responsibilities and expectations. We have included claims administrator job description templates that you can modify and use.

Sample responsibilities for this position include:

Manipulating spreadsheets
Uploading data into the claims system
Determining claims based on multiple criterions
Assisting in special project work
Supporting administrative functions
Helping to continually improve business processes and finding workflow efficiencies
Assign new claims to the appropriate claims examiner based on pre-determined criteria
Monitor and report new claim inventory levels
Respond to all e-mail and phone inquiries within 24 hours
Handle various administrative functions

Claims Administrator Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Claims Administrator

List any licenses or certifications required by the position: RG146, EPIC

Education for Claims Administrator

Typically a job would require a certain level of education.

Employers hiring for the claims administrator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Collage Degree in Business, Education, Management, General Education, Accounting, Associates, Computer Science, Health Care, Finance, Engineering

Skills for Claims Administrator

Desired skills for claims administrator include:

Word
PC software packages typically associated with contract administration
Excel and Outlook
MS Office products
Windows
General insurance practices
Microsoft Packages – Excel
Be comfortable using computers
Database software
Insurance administration terms and processes

Desired experience for claims administrator includes:

Continually builds on existing knowledge base and shares knowledge and expertise to increase team capabilities
A minimum of 2 years of claims administration experience in financial services industry or similar environment(superannuation, investments, pensions, tax) is a MUST
Establish excellent relationship with claim organization
Maintain high levels of customer service with internal and external customers
You will be responsible for the daily production of value date differences reports to detect debit interest generated on Nostri or collection accounts
Daily management of incoming interest claims being centralized in Luxembourg

Claims Administrator Examples

1

Claims Administrator Job Description

Job Description Example
Our growing company is searching for experienced candidates for the position of claims administrator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for claims administrator
  • Issuance of debit interest claims in accordance with internal land regulatory deadlines and specifications (ISITC, …)
  • Handle all kinds of verbal and written correspondence received from Brokers, Funds Managers, Distributors, Fund Promoters
  • Actively participate to the daily chasing process and maximization of credit collection efficiency with 3rd liable parties
  • You will ensure daily relevant completeness of the Interest claims Database (updates of record & relevant documentation/correspondence)
  • Monitor the receipt of interest claims payments in interaction with the Reconciliation department
  • Pass relevant accounting entries for the booking of interest claims amounts
  • Handling of periodical outstanding or escalation reporting
  • Manage portfolio of multi-state workers’ compensation claims (current and run-off programs)
  • Responsible for reviewing workers’ compensation claims, collecting relevant facts surrounding the circumstances of the claim, and assisting with making the initial determination of claim type (reportable or first aid)
  • Assist with promptly processing workers’ compensation claims received, ensuring all documentation and investigations are completed and submitted
Qualifications for claims administrator
  • Data entry experience would be helpful as accuracy is quite important to be successful for the role
  • Experience in basic accounting functions may be beneficial, but not essential
  • Work with assigned claims administrator on claim status throughout the “life” of the claim
  • Review and approve workers’ compensation reserves and settlements proposed by the third party administrator and strategizes on claims management approaches
  • Provide written analysis and recommendations for workers’ compensation reserves and settlements to supervisor
  • Manage first aid claims processing, including proactive communications
2

Claims Administrator Job Description

Job Description Example
Our growing company is looking to fill the role of claims administrator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for claims administrator
  • Manage return-to-work program
  • Manage the workers’ compensation inbox
  • Maintain regular contact with insurance carrier/claims adjusters/third party administrator on claim status, proactively driving responses and reviewing reports with supervisor
  • Meet regularly with supervisor to provide updates on claims and open/unresolved issues, with the objective of driving for claims closure and regular status updates
  • Maintain claim service instructions for third party administrator
  • Prepare monthly/quarterly/annual summary reports from insurance carrier/broker/ third party administrator for distribution
  • Assist in the preparation of reports and presentations on an as needed basis
  • Communicate workers’ compensation leaves with the Leave of Absence department
  • Coordinate workers’ compensation settlements with Employment department
  • Organize and complete workers’ compensation claim reviews and audits helping to assist with the resolution of the claims
Qualifications for claims administrator
  • Demonstrates excellent attention to detail, accuracy, and the ability to meet strict deadlines
  • Assist with the processing of wage statements as requested from the workers’ compensation process
  • Manage the processing of workers’ compensation subpoenas and provide direction on subrogation with carriers/TPA
  • Develops and provides workers’ compensation training programs to support current and ongoing initiatives
  • Assist with other workers’ compensation duties as directed by supervisor on an as needed basis
  • Minimum high school diploma (or equivalent GED) required
3

Claims Administrator Job Description

Job Description Example
Our growing company is looking for a claims administrator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for claims administrator
  • Ensure complete and comprehensive Audit (all – internal, external, controls & financial) control & compliance for ANZ
  • Validating all scan claims against actualised volumes and deal book prior to approval
  • Report any spend outside of approved tactics
  • Investigate or reject non reconciling volumes and provide reasoning
  • Responsible for following up and ensuring resolution of rejected claims in set time frame
  • Validating all pricing claims and ensuring pricing is updated via the pricing controller and processed in a set time frame
  • Ensure receipt and reconciliation of weekly and monthly wholesaler data against group deals matrix and report exceptions
  • Develop and maintain electronically catalogue all claims data for audit purposes
  • Develop and improve reports/processes with a view to drive accuracy and efficiency
  • Workers Compensation Claims, Auto Liability Claims, General Liability Claims & Windshield Claims
Qualifications for claims administrator
  • 5+ years of related experience in human resource, workers compensation or other related field of administration and processing of paperwork and materials
  • Must be able to work independently and be self directed, but also have ability and understanding of areas that require authorization and direction from supervisor, and when/how to provide regular updates
  • Energetic, driven personality with a demonstrated ability to take initiative, successfully handle and prioritize multiple competing assignments and effectively manage deadlines and meet objectives
  • High level of customer service and ability to effectively interact with all levels within the organization outside with various vendors and providers
  • Highly organized, with ability to process a very high volume of paper and information in an effective manner, including ensuring that information and its impact on the organization is absorbed and understood
  • Should be results oriented, be able learn quickly and make sound decisions after appropriate training
4

Claims Administrator Job Description

Job Description Example
Our innovative and growing company is looking for a claims administrator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for claims administrator
  • Evaluate performance and identify problem areas
  • Define team goals with Director and actively communicates goals and trains to best practice
  • Adjust company/department policies to include any changes to practice
  • Tracks educational training and appropriate licenses and/or certifications for team and reports to Director on a regular basis
  • Assist with processing of liability claims as needed
  • Manage third party handling claims through insurance carrier
  • Work with Aaron’s legal team on assigning counsel and tracking legal spend
  • Educate field office operations on the claims process
  • Coordination of all worker’s compensation claims for Aaron’s
  • Administration of the company’s Return to Work program by working with associates, managers, and medical staff to ensure that associates returning to work with restrictions are returning to a job that can accommodate the restrictions
Qualifications for claims administrator
  • A sense of urgency and demonstrated commitment to meet deadlines
  • Prior experience managing litigation of general liability claims preferred
  • Must have excellent empathic skills and the ability to deal with conflict
  • Must be able to handle confidential information in a mature and professional manner while using sound judgment and discretion in processing claims and assisting the adjusting staff
  • Nursing or medical background preferred
  • Mortgage insurance experience preferred
5

Claims Administrator Job Description

Job Description Example
Our company is hiring for a claims administrator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for claims administrator
  • Liaison with Corporate Legal Department, carrier, and broker in the management of litigated claim matters
  • Provide assistance to company associates on Risk Management related matters as needed
  • Coordinate with Operational leadership to provide metrics around compliance health of their Workers Compensation programs
  • Provide insight to Environmental Health and Safety team on trending accidents and near misses to continue to refine corporate EHS programs to address worker injuries
  • Filing of all self-insured state payroll exposures and all Canadian provincial claims
  • Supports claims applications, including middleware and batch activity through operational (maintenance) and/or new project implementation(s)
  • Installs and configures claims applications
  • Interacts with application vendor(s) for issue resolution and/or technical support
  • Assists and/or facilitates testing phases for applications
  • Identifies, tracks, resolves, responds and raises awareness of complex application and data issues
Qualifications for claims administrator
  • Bachelor’s degree in business, accounting or finance, or insurance designation preferred, but not required
  • Understanding of insurance documentation, correspondence & litigation – desirable
  • Work on own initiative and able to challenge when required
  • Ability to interpret documentation and identify key information for data entry
  • Demonstrates a willingness to develop to assist with the overall achievement of optimum performance
  • Responsible for dealing with all new property insurance damage claims and collating appropriate documentation including

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