Description

• Performs claims auditing functions, including but not limited to:
  • Opening claims, assigning claim numbers, entering claims data into computer, etc. in a timely manner.
  • Checking losses to ensure that all supporting documentation is included and auditing claims according to established guidelines.
  • Entering loss information on computer system.
  • Confirming accuracy of information against error listings and corrects errors.
  • Referring problem files to appropriate supervisor or manager.
  • Answer questions from adjusters, agents, field staff, and insureds about claim status and procedures.
  • Generating and distributing various reports, such as claim forms, claim progress reports, and loss drafts.
• Performs various quality control functions, including but not limited to:
• Generating quality control documents, reports and distributing as directed.
• Entering completed quality control reviews on computer system.
• Informing appropriate staff of the review process and results.
• Making changes in policies as necessary to reflect QC audit results.
• Maintaining records of agent and adjuster training hours as necessary.
• Coordinates and performs accounts payable and accounts receivable functions by:
• Examine incoming bills and expense vouchers for necessary documentation.
• Print and mail checks.
• Enter cash receipt data into the computer system.
• Prints and mails agents account statements and premium notice mailers as necessary.
• Pay agent commissions and make premium refunds.
• Performs loss payee functions, including checking for proper documentation and entering data on the computer system as necessary.
• Answers agents and staff questions about accounts payable and receivable status, agent commission statements.
  
• Maintain vendor files.
• Maintain collection information on the computer system, print and mail collections letters and status reports.
• Prepares reports, debit memos, tax forms (1099, W-9).
• Researches licensing requirements for agents, tracks agent training hours and licensing as needed.
• Verifies licensing information for adjusters. Tracks adjuster training hours as needed.
  
• Develops and organizes the workflow through the department.
• Analyzes and resolves work problems and assists staff in solving work problems. Informs supervisor and management team of changes and concerns of Department.
• Perform other duties as necessary.

• Ability to accurately and efficiently enter information into a computer system.
• Ability to use a 10-key calculator.
• In-depth knowledge of general accounting principles and practices.
• Knowledge of the company Chart of Accounts for proper expense distribution.
• Knowledge of Rain and Hail products, services, and systems.
• Knowledge of the terminology used by the insurance industry and the company.
• Ability to perform basic and complex mathematical calculations.
• Ability to respond to telephone inquiries accurately and professionally.
• Ability to effectively communicate and maintain positive business relationships with company personnel, outside resources, and customers.
• Ability to organize and prioritize multiple tasks and to perform many tasks simultaneously.
• Ability to use department equipment.
• Ability to remain calm and professional.
• Ability to maintain confidentiality.
• Ability to work well with people in a team environment.
• Ability to work from oral or written communication.
• Ability to assist in other work-related areas as required.