Job Summary:
Reports directly to the Claims Team Lead and responsible for receiving all claims. Compiles all claims documents for the preparation of monthly report.

Essential Duties & Responsibilities:

Receives all claims through mails or hand deliveries and ensure completeness.
Opens, sorts, date stamps, batches and scans claims.
Creates and maintains files and filing system.
Inputs manual claims into the claims system.
Issues, replenishes, and controls the department’s office supplies.
Distributes claims for each assigned processor.
Photocopies and faxes information.
Accesses database to search for relevant and valuable information needed to facilitate claims.
Performs other duties that may be assigned from time to time.

Education and Experience:
1. High School Graduate – certification is not required
2. Previous formal experience is not required
3. Effective team player. With very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
4. Must have the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.
5. Outstanding oral and written communication skills.
6. Strong ethics and a high level of personal and professional integrity.
7. Must have basic familiarity on federal and state laws and requirements relating to healthcare management.
8. Computer literate and very highly proficient in using MS office programs.

Claims Assistant