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Montana State Fund

Claims Assistant

Montana State Fund, Helena, Montana, us, 59604

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This INTERNAL posting is open to current MSF employees and is scheduled to close on Friday, Oct 3rd. If a sufficient number of qualified applications are received, this posting may close early. Apply today!

About the job:

We're seeking a detail-oriented Claims Assistant to play a vital role on our team. In this position, you'll provide crucial support to our Claims Examiners by handling a variety of administrative and claims-related tasks. You'll accurately enter claim information, gather details from external sources like policy holders and medical staff, and assist in managing a caseload of auto-adjudicated claims. Your work is essential to ensuring a smooth and efficient claims process.

Required Skills

What you will do:

Claim Administration and Processing:

Maintain clean and organized claims along side the claim examiner. Gather wage information and enter claim center array fields. Draft and send official correspondence, including letters/forms, e-mails and faxes. Process payments by reviewing and paying medical bills, and calculating travel reimbursements. Prepare detailed Excel documents and complete forms.

Communication and Information Management:

Correspond with injured employees, policyholders, and providers via phone, e-mail and/or fax to get information or answer questions. Including sending medical authorization packets and following up to get them back, sending and receiving claim files from other insurance companies, and communicating with a dedicated group of claim examiners about their claims on a regular basis.

Documentation and Support:

Provide ongoing support to the claim examiners for their claims. Reproduce and organize claim documents. Maintain knowledge of current support processes and notify the claim examiner of any "red flags" on claims.

Required Experience

What you will need (minimum qualifications):

Required:

Bachelor’s Degree,

OR

High school Diploma with 2 years of work experience, (Insurance related experience and/or Medical Bill Coding experience is preferred),

OR

An equivalent combination of education and experience.

Preferred:

Directly related workers compensation business related experience

Relevant Certifications

Other requirements:

Regular attendance and presence in the designated workplace and designated work schedule. The training program consists of one month of onsite training, and continued onsite/hybrid training.

Technical skills appropriate for the position including the ability to use Microsoft Office tools without assistance.

Perform job duties in a safe and responsible manner in accordance with MSF safety guidelines and ergonomic recommendations.

Job Location:

This role requires regular attendance and presence in the designated workplace, which includes participation in on-site training at our Helena, MT office. **

Compensation and Benefits:** Pay range 2A. Starting salary for this exempt position begins at $40,800 - $50,900. The maximum range for this role is $61,100.

Montana State Fund offers excellent benefits, paid time off, and a competitive compensation program, including:

Excellent health insurance with dental, vision, life, long-term disability and more, with optional dependent coverage.

Flexible spending accounts for dependent care and medical expenses.

Public employees’ retirement plan tax-deferred contributions with a generous employer match.

Optional 457(b) deferred compensation to further increase retirement savings.

Higher education reimbursement and other training and development programs.

Robust personal leave, paid holidays, and extended leave.

Learn more about working at MSF: click here

Are you interested in this opportunity? Apply today!

Qualifications: What you will do:

Claim Administration and Processing:

Maintain clean and organized claims along side the claim examiner. Gather wage information and enter claim center array fields. Draft and send official correspondence, including letters/forms, e-mails and faxes. Process payments by reviewing and paying medical bills, and calculating travel reimbursements. Prepare detailed Excel documents and complete forms.

Communication and Information Management:

Correspond with injured employees, policyholders, and providers via phone, e-mail and/or fax to get information or answer questions. Including sending medical authorization packets and following up to get them back, sending and receiving claim files from other insurance companies, and communicating with a dedicated group of claim examiners about their claims on a regular basis.

Documentation and Support:

Provide ongoing support to the claim examiners for their claims. Reproduce and organize claim documents. Maintain knowledge of current support processes and notify the claim examiner of any "red flags" on claims.