Under direct supervision, provides a variety of operational support services to the Claim Department, its business partners and its clients.
- Education equivalent to graduation from High School, supplemented by courses in Word Processing, spreadsheet creation or the equivalent in work related experience.
- One or more years experience in BSI Claim Systems/Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations.
- Demonstrates effective customer relations skills.
- Demonstrates sound analytical skills.
- Demonstrates effective and diplomatic oral and written communication skills.
- Demonstrates ability to work accurately with attention to detail and customer expectations.
- Demonstrates a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting.
- NA
#LI-ET1
- Assists and participates in the analysis of internal operational procedural changes/workflows and requirements. Determines business impact and recommends and/or initiates appropriate action.
- Assists and participates in the research, writing, publishing and maintenance of operating procedures and user manuals.
- Provides guidance and/or training to Claim Offices on existing claim systems and procedures.
- Provides assistance to various BSI and Kemper Departments identifying, researching and correction of indicative and financial data errors.
- Responsible for monitoring and handling appropriately various reports; i.e NY Surcharge, IRS, DASD Exception, 180 Day Stale Date, SPCP etc. within a specified period of time.
- Processes various vendor invoices via bulk pay file procedures.
- Provides assistance to the Printing Facilities in relation to damaged checks, checks requiring additional or corrective mailing information/instructions.
- Receives reimbursement checks to be applied to claim files and or miscellaneous checks for subpoena/copy/witness fees. Maintains applicable log books as well as adheres to established guidelines of applying reimbursements to claim files and/or mailing of reimbursement/miscellaneous checks to appropriate lockbox.
- Ensures manual payments for Law Invoices for various laws firms utilized by Kemper Insurance are applied to the claim files in a timely manner.
- Provides assistance on various projects that are assigned to Claim Operations for handling to completion.
- Provides back up coverage when required and/or requested on one or more responsibilities within the Department.
- Develops and maintains a favorable working relationship with internal and external customers.
- Keeps abreast of internal claim system changes and developments that impact the Claim Systems/Operations area.
- May serve as DRP back up for Teleplus.