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Become A Claims Coordinator

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Working As A Claims Coordinator

  • Interacting With Computers
  • Getting Information
  • Making Decisions and Solving Problems
  • Communicating with Supervisors, Peers, or Subordinates
  • Processing Information
  • Deal with People

  • Mostly Sitting

  • $54,347

    Average Salary

What Does A Claims Coordinator Do At Tri City Foods, Inc./Burger King

* Review new workers compensation-general liability-auto- property claims.
* Analyze and process claims by investigating and gathering information and drawing conclusions.
* Serve as a liaison between current employees, guests, carrier and insurance broker to ensure that claims are managed efficiently.
* Enter new claims into internal claims database and set appropriate diary for follow-up activities.
* Follow up on claims with employees, guests and adjusters.
* Assist in preparing for claim reviews with the carrier.
* Build and maintain a relationship with Third Party Administrator to help monitor claims progress.
* Review reserve/settlement authority with Owner.
* Prepare monthly reports of current open claims.
* Rresponsible for handling and following up on customer /vendor caused physical restaurant damage claims.
* years experience managing general liability, work comp&auto claims.
* Excellent written/verbal communication skills.
* Exceptional interpersonal skills with handling guests and insurance companies for both guest incidents and restaurant/property damage claims.
* Detail oriented with the ability to define problems, collect data, establish facts anddraw valid conclusions.
* The ability to research and respond to claims in a timely manner

What Does A Claims Coordinator Do At Sava Senior Care

* Identify unreported denials by conducting a weekly all-facility review within the Direct Date Entry (DDE) system.
* Notify facilities of audit/claim requests, and enter associated data into DMD tracking software.
* Respond to DMD data requests in a timely manner.
* Follow up with facilities and internal departments to ensure compliance and completion of claims data.
* Organize resident charts in preparation for auditor review.
* Distribute medical records for nurse review.
* Perform other duties as assigned

What Does A Claims Coordinator Do At NYC Health Hospitals

* _
* Investigate and resolve problematic authorizations identified by claims service department via AWD and TXEN, in addition to claim related cases via incoming mail.
* Go through weekly UM Hold Code Reports (PC, UM, CI) and investigate issues and resolve problems where possible, including follow-up with UM managers when Care Managers or CMAs need to be involved in closing unresolved cases.
* Notifies the claims service department electronically via Macess, all retro review approvals submitted by Medical Management and maintains excel log of all cases submitted on a monthly basis.
* Maintain logs of issues, resolution, and likely cause in order to define training needs and system fixes.
* Serve as an additional resource to the UM Department with regards to TXEN/PowerStepp and CareStepp issues.
* Investigate Interest Due Report to determine if interest in due.
* Provide back-up coverage for all CMA functions, as needed

What Does A Claims Coordinator Do At Mercy

* Serve as point of contact for the Risk/Claims/Insurance Department.
* Manage service of process intake, including reviewing legal documents and other materials for completeness, accuracy and compliance with rules.
* Process deposition requests, regulatory board inquiries, and other legal correspondence related to Risk, Claims, and Insurance.
* Circulate documents to appropriate points of contact and assist Legal Counsel in responding appropriately.
* Manage the “litigation hold” process for the department by preparing and sending notices, following up with custodians and assisting with custodian interviews.
* Manage and maintain information needed for mandatory reporting to government/regulatory agencies.
* Facilitate acquisition, copying, filing and delivery of documents to outside attorneys and state and federal agencies
* Coordinate and assist attorneys in gathering information to respond to discovery requests and subpoenas.
* Perform research on risk and legal related matters as needed.
* Keep cases organized by establishing and organizing files, tracking deadlines, inputting information into electronic databases and claims management software.
* Perform other duties as may be assigned by supervisor

What Does A Claims Coordinator Do At Healthfirst

* Daily coordination supporting the administrative aspects of our outsourced operations including, but not limited to inventory management follow-up, oversight of key controls, tracking of process changes and invoice verification.
* Support the Legal Hotline in efforts to provide Collateral Source records for members and attorneys for the purpose of liens, subrogation and subpoenas.
* Tasks include responding to the Legal Hotline, scanning and upload of requests and HIPAA documentation into shared repository.
* Manage the vendor Clarification Log conducting routine comparisons and providing feedback to address repetitive topics and drive remediation and reduction in efforts to maintain inventory and age.
* Assist Managers in the review and preparation of documents communicating Quality, Production and coaching opportunities based on Quality Control reports.
* Identify inconsistencies and gaps in communication and alert management and Director to ensure remediation.
* Prepare reports and meeting support materials to include: Excel spreadsheets, PowerPoint presentations, Word documents (i.e. communications, forms, job aides, etc.).
* Assist with documents and presentations in the support of administration (copies, simple PPT, agenda, minutes, scanning, organizational charts etc.).
* Manage Healthfirst systems such as: ServiceNow (technical and facilities management requests) as requested.
* Oversees and assist leaders in managing documentation retention (electronic and hard copies) for the department with a focus on developing and maintaining consistent communication and performance tracking.
* Assist with new hire and staff on-boarding process.
* Complete special projects and other duties as requested and directed by leadership team

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Claims Coordinator Career Paths

Claims Coordinator
Claim Specialist Billing Specialist Accounts Receivable Specialist
Accounts Receivable Manager
6 Yearsyrs
Insurance Coordinator Billing Specialist Office Administrator
Administrative Manager
6 Yearsyrs
Claims Representative Claim Specialist Billing Specialist
Business Office Manager
8 Yearsyrs
Adjuster Claim Specialist Reimbursement Specialist
Client Manager
6 Yearsyrs
Medical Coder Adjunct Instructor Senior Project Manager
Client Services Director
9 Yearsyrs
Claims Manager Risk Manager Safety Manager
Compliance Manager
9 Yearsyrs
Legal Assistant Account Manager Purchasing Manager
Contracts Manager
9 Yearsyrs
Specialist Account Manager Operations Manager
Division Manager
8 Yearsyrs
Adjuster Driver Night Auditor
Hotel Manager
5 Yearsyrs
Claims Manager Operations Manager General Manager
Managing Partner
9 Yearsyrs
Billing Specialist Specialist Account Manager
National Account Manager
8 Yearsyrs
Specialist Case Manager Registered Nurse Case Manager
Nursing Director
9 Yearsyrs
Claims Representative Office Manager
Practice Manager
9 Yearsyrs
Data Analyst Project Coordinator Project Engineer
Quality Control Manager
8 Yearsyrs
Insurance Coordinator Billing And Insurance Coordinator Billing Manager
Revenue Manager
8 Yearsyrs
Medical Coder Auditor Assistant Vice President
Risk Manager
8 Yearsyrs
Billing Specialist Office Administrator Project Coordinator
Senior Project Coordinator
7 Yearsyrs
Legal Assistant Operations Manager Terminal Manager
Transportation Manager
8 Yearsyrs
Claim Specialist Specialist Case Manager
Unit Manager
6 Yearsyrs
Data Analyst Business Analyst Assistant Vice President
Vice President And Manager
10 Yearsyrs
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Help others decide if this is a good career for them

Average Length of Employment
Claims Technician 3.5 years
Claims Clerk 3.3 years
Claim Specialist 3.2 years
Claims Assistant 3.0 years
Claims Analyst 3.0 years
Team Coordinator 3.0 years
Claims Coordinator 3.0 years
Lead Coordinator 2.9 years
Coordinator 2.6 years
Top Careers Before Claims Coordinator
Teller 4.4%
Internship 3.2%
Cashier 2.9%
Top Careers After Claims Coordinator
Specialist 4.7%
Analyst 3.2%
Owner 2.9%

Do you work as a Claims Coordinator?

Claims Coordinator Demographics

Gender

Female

75.0%

Male

23.5%

Unknown

1.5%
Ethnicity

White

63.4%

Hispanic or Latino

16.3%

Black or African American

11.8%

Asian

5.7%

Unknown

2.7%
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Foreign Languages Spoken

Spanish

55.9%

French

15.3%

Chinese

3.4%

German

3.4%

Portuguese

1.7%

Hebrew

1.7%

Cantonese

1.7%

Ilocano

1.7%

Japanese

1.7%

Mandarin

1.7%

Carrier

1.7%

Hindi

1.7%

Tagalog

1.7%

Russian

1.7%

Arabic

1.7%

Navajo

1.7%

Italian

1.7%
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Claims Coordinator Education

Schools

University of Phoenix

24.7%

Strayer University

8.2%

West Chester University of Pennsylvania

7.2%

Kean University

6.2%

Miami Dade College

5.2%

Community College of Philadelphia

4.1%

Glendale Community College

4.1%

University of South Florida

3.1%

Columbia Southern University

3.1%

Columbus State Community College

3.1%

Murray State University

3.1%

Tennessee State University

3.1%

Arizona State University

3.1%

Indiana State University

3.1%

Virginia Commonwealth University

3.1%

Ohio State University

3.1%

Rhode Island College

3.1%

University of Texas at Dallas

3.1%

Houston Community College

3.1%

University of Southern California

3.1%
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Majors

Business

34.8%

Health Care Administration

8.4%

Accounting

5.6%

Legal Support Services

4.9%

Psychology

4.9%

Management

4.3%

Criminal Justice

3.9%

General Studies

3.0%

Nursing

3.0%

Communication

2.8%

Political Science

2.8%

Medical Assisting Services

2.8%

Computer Information Systems

2.8%

Liberal Arts

2.6%

Finance

2.6%

Insurance

2.6%

Human Resources Management

2.4%

Public Health

2.1%

Computer Science

1.9%

Education

1.9%
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Degrees

Bachelors

35.4%

Other

28.7%

Associate

13.1%

Masters

11.3%

Certificate

8.0%

Diploma

1.5%

Doctorate

1.4%

License

0.6%
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Internship
Temporary

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Top Skills for A Claims Coordinator

  1. Insurance Companies
  2. Customer Service
  3. Loss
You can check out examples of real life uses of top skills on resumes here:
  • Prepare memorandum and letters to insurance companies requesting additional information according to guidelines.
  • Provide exemplary customer service to customers ranging from large corporate clients to independent owner- operators.
  • Managed proper write-off of assets with capital expenditure and uninsured loss accounts.
  • Handled workers compensation and tort/liability claims associated with the Philadelphia International Airport.
  • Reviewed and implemented new and current procedures to insure compliance with Insurance Department regulations.

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