Senior Document Analyst

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job)

Primarily responsible for supporting the document management including media by analyzing, processing, indexing, re-indexing and assigning a document type and/or sub-doc type to all documents received by all departments within the Enterprise. Documents are received via OnBase and/or paper, fax, media and email. The incumbent must distinguish what department a document belongs to, apply proper criteria to electronically route the document into an electronic database, and initiate workflow of these documents to appropriate core business units in an accurate and timely manner. Primary contacts include other departmental personnel, as well as external vendor contacts. This role is also responsible for processing of incoming documents for the Subrogation, Legal, Commercial Auto, Fronting Agreements, Assigned Risk, Regulatory, Investigations and Medicare/Medicaid teams. Subject matter expert for Document Specialists and Claims Document Analysts.

PRIMARY RESPONSIBILITIES: (Brief bullet points detailing the major duties, not tasks, for this job and the % of time spent on each. Please list them in the order of importance).

· Performs computer inquires through multiple systems for other departments, including all groups within the Enterprise.

· Responsible to assist CDAs with the following and serve as a subject matter expert:

· Analyzes incoming documents (physical/faxes/emails) supporting the critical workflow within the Enterprise.

· Reviews specialized documents and adds pertinent information to the document keywords and to appropriate data fields in the claim system

· Re-indexes and appropriately routes documents that have been assigned an improper document type or have been attached to an incorrect claim (Error Que)

· Adds legal matters and pertinent litigation information to the claim system upon receipt of legal documents

· Sets priority activities to core business units including but not limited to Finance, Subrogation, Legal, Fronting Partners, Assigned Risk Claims & Policy and Commercial Auto Claims and Policy as appropriate upon receipt and review of documents

· Performs other duties and special projects as requested by leadership.

· Assists with the creation of procedural documentation and workflows.

· Contacts employer or provider via email/phone if necessary, to obtain information.

· Opens, sorts, prepares, bundles, scans, process and validates/verifies physical and electronic mail for all departments daily.

· Determines appropriate criteria to accurately index an electronic image to initiate critical workflow to the proper department within the Enterprise. (AR, Commercial Auto, Fronting)

· Completes special handling as necessary for the scanning, logging, and validation of all incoming checks including Assigned Risk checks.

· Uploads, converts, and logs media files and formats into electronic database (i.e. surveillance videos, recorded statements, records on CD, claimant’s personnel files, etc.).

· Use of cloud-based applications to retrieve necessary information through a web browser (i.e. surveillance videos, invoices etc.)

· Assist with mailroom support functions when necessary.

· Maintains scanning equipment in appropriate working order according to documented guidelines.

· Maintains records according to the corporate retention guidelines.

· Assists with email routing and uploads, including documents sent to quality control queue.

· Serves as subject matter expert for new staff members, as well as both internal and external customers.

· Assists Quality Specialist with document imaging workflow and other Quality Specialist duties as needed.

· Coordinate the efficient transfer of imaged or physical documents.

· Identifies, researches, and resolves issues, errors and document transmission problems.

This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS:

A. EDUCATION REQUIRED: (Brief paragraph detailing the minimum education required, including certifications) Do not state preferred qualifications.

High school diploma, G. E. D. required with additional 12 credit hours of course work in business or insurance. Combinations of education and experience may be considered in lieu of additional training or coursework.

B. EXPERIENCE REQUIRED: (Minimum experience required to perform this job) Do not state preferred experience.

Minimum two years general office experience that includes relevant experience reviewing and providing specific document types to scanned images. Including one year of experience