Date: Jun 26, 2024
Location: Colorado Springs, CO, US, 80901 Reno, NV, US, 89501 El Paso, TX, US, 79900 Yakima, WA, US, 98901 Spokane, WA, US, 99201 Fort Collins, CO, US, 80526 Houston, TX, US, 77002 West Linn, OR, US, 97068 Phoenix, AZ, US, 85001 Denver, CO, US, 80123 Dallas, TX, US, 75201 Salt Lake City, UT, US, 84105 TX, US, 78006 Tucson, AZ, US, 85641 Las Vegas, NV, US, 89107
Company: Wawanesa Insurance
Job ID: 8245
Wawanesa Insurance is a direct-to-consumer insurance company that provides auto and property insurance products in California and Oregon. We are committed to being there for our members when they need us most and supporting our communities. We’ve been serving our members since 1975 and have been recognized for our award-winning customer service.
We are proud to be a subsidiary of the Auto Club of Southern California (AAA). Wawanesa and AAA have shared values of service to our members, competitive pricing, and supporting our communities. We have an abundance of opportunities to learn, grow, and advance throughout our thriving organization.
We are proud to offer employees the flexibility to choose where they want to work. In this role, you can work from home (remote), in any state where Wawanesa currently operates in the U.S. or a state the company has the ability to run payroll. Please check with the Recruiter to determine if your remote work location is allowed.
The Senior Claims Assistant contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by supporting the claims department by managing a wide range of administrative and clerical tasks. This role involves maintaining accurate records, gathering and recording information from customers and vendors for the purpose of establishing new claim reports, and providing excellent customer service to claimants, members, and other key stakeholders. The Sr. Claims Assistant also acts as a mentor and resources to Claims Assistants, ensuring adherence to company policies, processes, and procedures.
Compensation: Depends on experience and varies by location.
Colorado Compensation:
- The pay range for this position is $20.97 - $29.78 per hour, depending on experience.
- This position is considered non-exempt for purposes of wage-hour law, which means you are eligible for overtime pay for hours worked in excess of 40 hours in a workweek or more than 12 hours in a workday.
Nevada Compensation:
- The pay range for this position is $22.02 - $29.78 per hour, depending on experience.
- This position is considered non-exempt for purposes of wage-hour law, which means you are eligible for overtime pay for hours worked in excess of 40 hours in a workweek.
Washington Compensation:
- The pay range for this position is $20.97 - $28.36 per hour, depending on experience.
- This position is considered non-exempt for purposes of wage-hour law, which means you are eligible for overtime pay for hours worked in excess of 40 hours in a workweek.
Job Responsibilities
- Manage Medicare indexing, Compliance, and ongoing reporting requirements
- Conduct ongoing specialized projects pertaining to compliance needs and regulatory requirements
- Enter new claims reported via telephone, fax, email or web/mobile into claims system (ClaimCenter)
- Answer calls to the claims department
- Identify, sort and distribute Claim Department documents
- Conduct data base searches
- Ensure successful transmission of documents to vendors
- Perform clerical duties, such as filing, faxing, copying, and scanning
- Within a limited scope, interpret policy wordings and determine policy coverage
- Evaluate relevant information from sources such as appraisers, third party adjusters, contractors, and repair facilities in order to validate the cost of losses
- Maintain accurate records based on company standards and policies within the claims system and governmental regulations
- Provide exception customer service
- Serve as a mentor to Claims Assistants
- Performs other duties and specialized projects as assigned
- 5+ years experience in claims administrative/clerical office experience required
- Proficient experience and familiarity with Medicare processes and reporting requirements
- Completion of High School or equivalent
- Proficient knowledge of Microsoft Office skills
- Good customer service skills
- Detail oriented with a critical degree of accuracy regarding data entry
- Good communication skills, both written and oral
- Good time management and organization skills with the ability to prioritize work in a fast paced, changing environment
Benefits and Other Total Rewards Components Include:
- Medical, Dental and Vision
- Flexible spending accounts (FSA)
- Voluntary benefit plans – accident, hospital indemnity and critical illness
- Supplemental short and long-term disability benefits
- Life insurance
- Enhanced 401K plan
- Paid time off (PTO) accrued at 0.0693 hours/per hour worked to a maximum annual accrual of 18 days (135 hours)
- You will be eligible for Wawanesa’s annual bonus plan, entitled “Goal Achievement Plan” (GAP), that rewards employees for driving Wawanesa’s success.
- Tuition Assistance and much more
If you have questions about compensation and benefits, please contact our Human Resources department at 858-874-5404 or email SD_human_resources@wawanesa.com.
Wawanesa General Insurance Company is an equal opportunity employer and is committed to a diverse workforce. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual’s protected status: race/ethnicity, color, religion, creed, sex/gender, sexual orientation, gender identity/expression, marital status, pregnancy/childbirth or related conditions, national origin, disability, military or veteran status, or any other protected status. If you are a qualified individual with a disability, you have the right to request a reasonable accommodation to assist in the application process. You may request reasonable accommodations by calling the Human Resources department at 858-874-5404 or emailing Human Resources at sdloa@wawanesa.com.
If you are interested in this exciting, challenging position with Wawanesa, apply today with your Resume.
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Nearest Major Market: Colorado Springs