Position Summary

The Claims Assistant provides administrative and operational support to the Claims team, ensuring timely and accurate processing of claim-related documentation, regulatory notices, and correspondence. This role supports compliance across all jurisdictions in which the assigned book of business operates, and helps ensure efficient mail, fax, litigation, and communication workflows.

Key Responsibilities

Claims Administration & Regulatory Compliance

• Prepare and complete all jurisdictionally required benefit notices accurately and within applicable regulatory timeframes (e.g., same-day or within 24 hours of check issuance, as required by the governing jurisdiction).
• Complete all other assigned claim tasks within five (5) business days, or sooner as business needs dictate.
• Ensure benefit notices are completed in time to meet same-day mailing deadlines.
• Verify all documentation includes the language, forms, and attachments required by the applicable jurisdiction.
• Identify and use the appropriate delivery method for claim notices (e.g., mail or email, where permitted by the jurisdiction).

Documentation & Records Support

• Assist with processing and tracking documentation related to claim activities.
• Ensure completeness, accuracy, and timely routing of all required forms and supporting materials.

Mail, Fax & Communication Management

• Pick up, open, date-stamp, and process incoming mail daily.
• Index and route mail to the document management system the same day for assigned adjust