Claims Services/Imaging Specialist

Company Details

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor's.

At Acadia, we value our employees, our customers and our communities. Employees at Acadia are part of a progressive company where everyone can make a difference. We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.

The company is an equal employment opportunity employer.

Responsibilities

The Claims Services/Imaging Specialist is responsible for the timely and accurate processing of various transactions for all claim functions. Provide a high level of customer service by working effectively with the necessary parties and systems and by following the appropriate procedures to ensure results meet or exceed our service level standards relating to quality, production and time service.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Key functions include but are not limited to:

• Sort and prepare documents for imaging/indexing correctly and accurately. Develop and maintain a strong working knowledge of all equipment, software applications and systems used in support of the position/duties

• Sort and distribute all forms of incoming mail. Prepare and process outgoing mail.

• Monitor and respond to workflow questions.

• Process incoming recovery/overpayment checks per department standard and reconcile on daily basis.

• Proactively communication with customers and clients via telephone, e-mail, or regular mail.

• Accept, handle and place telephone calls per department schedule. Maintain solid customer relationships by handling questions and concerns in a timely, accurate and professional manner. Research and trouble shoot customer problems.

• Process new claim creations per department standards; interpret & apply state requirements and regulations.

• Provide customer service and clerical support to internal staff through Lotus Notes mailbox, CWS system and phone support.

• Research and respond to Electronic Work Flow questions.

• Monitor and analyze image system queues for system/user problems, resolve and/or report to the appropriate source.

• Interpret and follow instructions to accurately handle all transactions.

• Adhere to written authority level and refer items that exceed authority.

• Use procedure manuals and other instructional manuals to accurately perform all tasks.

• Actively participate in team discussions, problem solving and developing best practices.

• Complete special projects according to goals, objectives and time frames.

• Other duties as assigned.

Qualifications

• Bachelor's degree (B. S.) or equivalent from four-year College preferred; two to three years related experience and/or training; or equivalent combination of education and experience.

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret charts and graphs.

• General competence and comfort utilizing software applications, various operating systems, multi-line phone systems, electronic communications, and other software and hardware as necessary.

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.

• Ability to deal with problems involving several concrete variables in standardized situations.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role Responsibilities The Claims Services/Imaging Specialist is responsible for the timely and accurate processing of various transactions for all claim functions. Provide a high level of customer service by working effectively with the necessary parties and systems and by following the appropriate procedures to ensure results meet or exceed our service level standards relating to quality, production and time service. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Key functions include but are not limited to:

• Sort and prepare documents for imaging/indexing correctly and accurately. Develop and maintain a strong working knowledge of all equipment, software applications and systems used in support of the position/duties

• Sort and distribute all forms of incoming mail. Prepare and process outgoing mail.

• Monitor and respond to workflow questions.

• Process incoming recovery/overpayment checks per department standard and reconcile on daily basis.

• Proactively communication with customers and clients via telephone, e-mail, or regular mail.

• Accept, handle and place telephone calls per department schedule. Maintain solid customer relationships by handling questions and concerns in a timely, accurate and professional manner. Research and trouble shoot customer problems.

• Process new claim creations per department standards; interpret & apply state requirements and regulations.

• Provide customer service and clerical support to internal staff through Lotus Notes mailbox, CWS system and phone support.

• Research and respond to Electronic Work Flow questions.

• Monitor and analyze image system queues for system/user problems, resolve and/or report to the appropriate source.

• Interpret and follow instructions to accurately handle all transactions.

• Adhere to written authority level and refer items that exceed authority.

• Use procedure manuals and other instructional manuals to accurately perform all tasks.

• Actively participate in team discussions, problem solving and developing best practices.

• Complete special projects according to goals, objectives and time frames.

• Other duties as assigned.