Claims Support Representative

At Towne Park, it’s more than a job, you can make an impact.

A career with us is rewarding in more ways than one.

As a hospitality services company, our commitment is to create smiles by delivering exceptional experiences. When you work with us, you have an opportunity to impact the millions of patients, visitors and guests we proudly serve. Whether providing compassionate service that eases the anxiety of a patient and their family, creating a memorable experience for a guest in a new city, or helping a colleague, every day is a new opportunity to brighten someone else’s day and make an impact. When we see a customer, a client or one of our own team members smile, we know we made an impact. It’s why we do what we do.

Towne Park is a place where you can make a difference and create smiles every day.

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• General office and clerical responsibilities, including answering telephones, e-filing, billing reconciliation for various vendors, document gathering for audit purposes, and other duties as assigned.
• Reviews claim estimates loss and expense costs that are received from claimants or third parties. Analyzes, reviews, and adjusts claims valued at less than $1500 for accuracy, completeness, and eligibility, consults with Claims Manager or peers for assistance as needed.
• Manage Outlook emails for the Claims Department
• Assists claimants, vendors, and clients with inquiries regarding their claims as needed.
• Supports Claims and data management.
• Processes claim payments for escrow to TPA, Rental Car payments, and other payments as assigned, maintains record of accounts; prepares correspondence and backup information in support of payments and assures they are properly loaded and tracked into the claims management system.
• Assists with data management, coding, and analysis, and prepares various ad hoc, monthly, and annual safety/claims reports as assigned by the Claims Manager.
• Organizes and prioritizes large volumes of information and calls.
• Types of general correspondence, memos, charts, tables, graphs, business plans, etc. Proofreads copy for spelling, grammar, and layout, making appropriate changes. Responsible for the accuracy and clarity of the final copy.
• May Support analysts with reporting claims to insurance carrier/TPA when needed. 
• Works independently and within a team on special nonrecurring and ongoing projects.
• Comply with state laws, policies, and company procedures.
• Performs other duties as assigned.

Administration

• Performs administrative support tasks for Risk Management and other members of the Claims Department including but not limited to distribution of various correspondences, phone support, etc.
• Processing of payments as assigned by Claims Manager, and Analysts as needed, data entry and verification of payments, and audit of records.
• Compiles and prepares statistical data and reports under the supervision and direction of the Claims Manager.
• Catalogs and records files for e-storage.
• E-Files claim folders or any other pertinent documents.

Systems and Standards

• Participates in conference calls and other meetings as needed.
• Maintains strict confidentiality related to client, claimant, and corporate information.
• Cooperates with management and coworkers to ensure that services are adequately maintained to meet the needs of internal and external customers.
• Completes all tasks in a timely manner.
• Executes all terms and conditions as set forth in the Towne Park Associate Handbook and standard operating procedures.
• Maintains a clean, neat work environment.
• Treats clients and associates with courtesy, respect, and dignity.

Safety and Risk Management

• Understands and follows safety and security procedures.
• Practices preventative safety procedures as set forth by Towne Park.
• Reports all accidents and incidents to their immediate manager, director or vice president.
• Uses only equipment trained to use and operates all equipment in a safe manner.
• Reports all potential high-risk areas and safety concerns to their immediate manager, director or vice president.

• Computer proficiency and technical aptitude with an ability to utilize advanced functions of MS Office (Excel, Word, PowerPoint, Visio, and Outlook), the internet, and various Claims applications and databases.
• Ability to work independently to effectively plan and set priorities to accomplish required tasks.
• Ability to manage several projects simultaneously while working under pressure to meet deadlines.
• The individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
• Ability to read, analyze, and interpret general business correspondence, instruction guides, and training materials.
• Excellent verbal communication skills to speak clearly and persuasively in positive or negative situations, demonstrates group presentation skills, and participates in meetings.
• Excellent written communication skills to provide any necessary correspondence with internal and external customers.
• The individual looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.
• The individual prioritizes and plans work activities, uses time efficiently, and develops realistic action plans.
• Ability to represent the company effectively in a variety of settings with a demonstrated understanding and appreciation for diverse cultures.

QUALIFICATIONS

• High school diploma or general education degree (GED); six to twelve months related experience and/or training; or equivalent combination of education and experience. BS preferred.
• Ability to read and interpret documents, insurance claims, and procedure manuals. Ability to write routine correspondence.
• Ability to add, subtract, multiply, and divide.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret a wide variety of instructions in written or diagram form.
• Skill and ability to use and operate an adding machine, computer, fax machine, scanner, and copier.
• Must have proficient skill and ability to use advanced features of Microsoft Word, Outlook, Excel, PowerPoint, and Visio.

PHYSICAL DEMANDS AND WORK ENVIRONMENT                                                

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• The associate is regularly required to stand, walk; sit; use hands to finger, grasp, handle, or feel objects, tools, or controls; reach with hands and arms; talk; and hear.
• Specific vision abilities required by the job include close vision and the ability to adjust focus.
• The noise level in the work environment is usually moderate.
• Work is performed in a normal office setting with minimal exposure to health or safety hazards. Substantial time is spent working on a computer.
• The associate must occasionally push, pull, lift, and/or move up to 20 pounds.
• Working extended hours may be required as needed.