Check Processing, Claims Management, Claims Processing, Data Entry, FTP (File Transfer Protocol), Financial Reporting, Healthcare Providers, Insurance Documentation, Mail Processing, Medical Billing, Organizational Skills, Photo/Video Sharing, Safety Training, Subrogation, Third-Party Payer, Time Management, Training Program
The Claims Coordinator is responsible for coordinating and supporting initiatives relative to the receipt, evaluation, and processing of incidents and potential claims.
Job Responsibilities
- Manages the dedicated claims phone line and email, ensuring timely intake and response to potential claims.
- Receives and evaluates Transit Service Manager (TSM) reports, incident reports, and phone calls to determine whether a claim should be initiated.
- Enters incident data, photos, and reports into claims system for Third Party Administrator (TPA) review.
- Receives medical bills and claim documents to scan and forward to the TPA.
- Coordinates and manages light duty safety training program for employees.
- Requests documents, wage statements, photos, and videos as required for claims processing.
- Locates archived videos, shares with adjusters and medical providers via web call or file transfer protocol (FTP), and creates copies for attorneys
- Manages claims related Subpoena and Letter of Representation response including requesting data, tracking, and supplying appropriate data to the TPA in a timely manner.
- Identifies potential incidents for National Transit Database (NTD) reporting
- Receives and processes subrogation checks to ensure accurate reporting to accounting and the claims system.
- Receives all incoming mail, reviews, scans, and forwards to the TPA.
- Maintains claims filing of record storage and retrieval system.
- Manages third party Certificate of Insurance filing and retention.
- Assists with filing of claims documents.
- Assists with report creation.
- Provides support with data entry and filing.