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EMC Insurance Companies · 4 weeks ago

Claims Solutions Accounts Receivable Support Associate

Des Moines- Corporate Office

Full-time

Hybrid

Mid Level

$37K/yr - $51K/yr

3+ years exp

EMC Insurance Companies is focused on collaboration and making an impact. The Claims Solutions Accounts Receivable Support Associate will be responsible for completing EDI filings, assisting adjusters with coding issues, and ensuring compliance with state filing requirements.

Financial ServicesInsurance

Responsibilities

Completes Electronic Data Interchange (EDI) filings

Researches and assists adjusters with coding issues

Serves as a liaison between claims adjusters and state government to determine filing requirements

Ensures compliance standards are followed in state filing requirements

Maintains accuracy in reporting to meet individual states’ requirements

Receives claims reports via phone, email and fax

Enters claims into Filehandler Claims System and CLMS

Provides general assistance to clients when reporting new claims

Posts check deposits, ACH transactions, refunds and recoveries for clients in Filehandler Claims System, Workday and CLMS

Enter weekly sweep requests

Processes returned ACH transactions and void transactions within CLMS and FHE

Ensures all documents and files have been stored securely per EMC compliance regulations

Trains team members on EDI filings

Completes special projects, such as updating reporting systems with current claim coding or transition/integration of new EDI states

Completes requests from adjusters, such as finding faxes, mailing letters or printing labels

Maintains ERS team phone list, organizational chart and emergency planning staff list, orders supplies, promotional items and equipment for the company, with other organizational and administrative duties as assigned

Opens, scans and indexes incoming mail to claims files in multiple systems

Retrieves and sends faxes from servers and indexes faxes to claim files in Filehandler Claims System and CLMS

Answers 800 claims line and relays messages

Qualification

Claims processing knowledgeAccounts receivable knowledgeData entry skillsOrganizational skillsCustomer service skillsMulti-tasking abilityVerbal communicationWritten communicationConfidentiality