Claims/QC Auditor/Staff Accountant

JOB DESCRIPTION

Essential Job Duties and Responsibilities:


* Performs claims auditing functions, including but not limited to:
+ Opening claims, assigning claim numbers, entering claims data into computer, etc.

in a timely manner.
+ Checking losses to ensure that all supporting documentation is included and auditing claims according to established guidelines.
+ Entering loss information on computer system.
+ Confirming accuracy of information against error listings and corrects errors.
+ Referring problem files to appropriate supervisor or manager.
+ Answer questions from adjusters, agents, field staff, and insureds about claim status and procedures.
+ Generating and distributing various reports, such as claim forms, claim progress reports, and loss drafts.


* Performs various quality control functions, including but not limited to:


* Generating quality control documents, reports and distributing as directed.


* Entering completed quality control reviews on computer system.


* Informing appropriate staff of the review process and results.


* Making changes in policies as necessary to reflect QC audit results.


* Maintaining records of agent and adjuster training hours as necessary.


* Coordinates and performs accounts payable and accounts receivable functions by:


* Examine incoming bills and expense vouchers for necessary documentation.


* Print and mail checks.


* Enter cash receipt data into the computer system.


* Prints and mails agents account statements and premium notice mailers as necessary.


* Pay agent commissions and make premium refunds.


* Performs loss payee functions, including checking for proper documentation and entering data on the computer system as necessary.


* Answers agents and staff questions about accounts payable and receivable status, agent commission statements.


* Maintain vendor files.


* Maintain collection information on the computer system, print and mail collections letters and status reports.


* Prepares reports, debit memos, tax forms (1099, W-9).


* Researches licensing requirements for agents, tracks agent training hours and licensing as needed.


* Verifies licensing information for adjusters.

Tracks adjuster training hours as needed.


* Develops and organizes the workflow through the department.


* Analyzes and resolves work problems and assists staff in solving work problems.

Informs supervisor and management team of changes and concerns of Department.


* Perform other duties as necessary.

Knowledge, Skills, and Abilities:


* Ability to accurately and efficiently enter information into a computer system.


* Ability to use a 10-key calculator.


* In-depth knowledge of general accounting principles and practices.


* Knowledge of the company Chart of Accounts for proper expense distribution.


* Knowledge of Rain and Hail p...