City and County of San Francisco

Claims Process Clerk (#1474)

$31.46-$38.26 Hourly / $5,454.00-$6,632.00 Monthly / $65,442.00-$79,586.00 Yearly

Definition

Under supervision, the Claim Process Clerk performs a variety of specialized clerical duties in connection with claims processing matters. The essential functions of this job include: processing personal injury, property damage, procurement, employment claims, accident reports and other indemnification claims; compiling and evaluating claims; referring to standard claim text for proper coding of accident and claim information; contacting claimants as needed; creating, maintaining and updating files to ensure that accurate data is kept on claims status; and responding to inquiries made by phone or in person by city employees, claimants, attorneys and other interested individuals concerning claims matters.

Distinguishing Features

The Claims Process Clerk job code is distinguished from the 1476 Senior Claims Process Clerk in that the latter performs more difficult and responsible tasks related to claim processing duties including the analysis of accident reports than those assigned to incumbents in this job code.

Supervision Exercised

None

Examples of Important and Essential Duties

According to Civil Service Commission Rule 9, the duties specified below are representative of the range of duties assigned to this job code and are not intended to be an inclusive list.

1. Processes personal injury, property damage, procurement, employment claims, accident reports, and other indemnification claims by entering information manually and/or electronically into coding systems; and ensures that information is entered accurately.

2. Compiles and evaluates claims by verifying information, status and completeness of claims to ensure their conformance to rules and limitations of the prescribed internal coding system and the Bureau of Management Information System (BMIS).

3. Refers to standard texts for proper coding of accident and claim information by researching central control logs and various internal liability claims management records to insure that accident and incidents have been properly matched to avoid duplication; when claims are incomplete, contacts claimants to obtain needed/missing information on claims.

4. Creates, maintains and updates files according to established internal departmental procedures by using chronological, and alphabetical filing systems either manually and/or electronically to ensure that accurate data is kept on claims status; updates records to show claims information at various stages of processing.

5. Responds to phone and claims inquiries from city employees, claimants, attorneys and other interested individuals concerning various claims matters such as, explaining procedures for filing claims, gathering additional information on claims, and provide accurate information about claim status.

6. Performs related duties and responsibilities as assigned.

Knowledge, Skills and Abilities

Knowledge of: claims processing, filing systems and basic math.

Ability to: apply techniques and information related to claims processing; operate personal computer; communicate verbally and in writing; proofread records and documents; and interact effectively and courteously with staff and the public.

Experience and Training

 Two (2) years of verifiable experience in processing claims such as insurance, accident reports, disability, personal injury, property damage and other indemnification claims. (Experience must have been gained within the last ten (10) years); AND ability to type/keyboard 30 words per minute.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.
CLASS: 1474; EST: 1/1/1900; REV: 1/1/1900;