Claims Processor

Summary: Under basic supervision, processes insurance claims in a timely and efficient manner; processes claims in compliance with City policies and procedures, and according to all legal and procedural requirements.

Essential Functions: -- Essential functions, as defined under the Americans with Disabilities Act, may include any of the following representative duties, knowledge, and skills. This is not a comprehensive listing of all functions and duties performed by incumbents of this class; employees may be assigned duties which are not listed below; reasonable accommodations will be made as required. The job description does not constitute an employment agreement and is subject to change at any time by the employer. Essential duties and responsibilities may include, but are not limited to, the following:

•  Examines claims for validity; reviews claim forms and accident reports for accuracy, completeness, and clarity of information; processes claims according to all legal and procedural requirements, and City policies.
• Facilitates communications with employees and service providers on claim status and issues to be resolved.
• Maintains computer database, case files, and claims records; records and updates required documentation, and researches discrepancies; prepares necessary forms and documentation.
• Supports the departmental operations with regular and timely attendance.
• Supports the relationship between the City of Odessa and the general public by demonstrating courteous and cooperative behavior when interacting with visitors and City staff; maintains confidentiality of work-related issues and City information; performs other duties as required or assigned.

Minimum Qualifications:

Education, Training and Experience Guidelines: High School Diploma or GED required; AND two years of computer and customer service experience, experience in the health/insurance industry/medical billing is beneficial but not required.  

Knowledge of:

• Principles of loss control and claims administration.

• Claims processing rules, regulations, codes, procedures, and policies.

• Record keeping and technical reporting principles and procedures.

• Business computers, and standard and specialized software applications.

Skill in:

• Processing and evaluating insurance claims.

• Entering data into computer with skill and accuracy.

• Explaining City claims administration policies and procedures.

• Communicating effectively verbally and in writing.

License and certification requirements: A valid Texas State Driver's License is required.  

Physical demands and working environment: Work is performed in a standard office environment and training classes.

Skills test: Typing test of 35 wpm with 7 or less errors. 10-key test with 70% or better.

Note to Applicants: It is the applicants responsibility to complete and pass the skills test at the Texas Workforce, 2626 JBS Parkway by the closing date of 7/29/2019.

For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website.

https://www.applicantpro.com/j/1130130-111610