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Requirements and Responsibilities

Claims Clerk III reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk III verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk III processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk III works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Clerk III typically requires 3-5 years of related experience.

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