US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Claims Processor:
-
Employment Type:
Contractor
-
Location:
Mason, OH (Onsite)
Do you meet the requirements for this job?
Claims Processor
Careers Integrated Resources Inc
Mason, OH (Onsite)
Contractor
Title: Claims Coordinator
Location: Mason OH - 45040
Contract: 8 Months and Possibility of Extension
Work hours: 8 - 5pm with hour lunch, or 8-430 with 30-minute lunch.
Note - Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
REASON FOR REQUEST : Temporary Resource to support a Medically Necessary Contacts Processing
GENERAL FUNCTION : Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
Processing - Efficiently and accurately processes standard claims or adjustments
Consistently achieves key internals with respect to production, cycle time, and quality
May participate on non-complex special claims projects initiatives, including network efforts
Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Client Account Managers, Operations, Information Systems, Client Representatives and Client leadership team
Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS:
Data entry and claims processing knowledge
Has a working knowledge of interface systems that include the Client claims system, Meta storm, Exclaim and Eye Net
Some basic working knowledge of software programs, specifically Excel and Access
Understands third party benefits and administration
Strong customer service focus
Ability to work well under pressure and multi-task
EXPERIENCE:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION : High school mandatory
Location: Mason OH - 45040
Contract: 8 Months and Possibility of Extension
Work hours: 8 - 5pm with hour lunch, or 8-430 with 30-minute lunch.
Note - Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
REASON FOR REQUEST : Temporary Resource to support a Medically Necessary Contacts Processing
GENERAL FUNCTION : Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
Processing - Efficiently and accurately processes standard claims or adjustments
Consistently achieves key internals with respect to production, cycle time, and quality
May participate on non-complex special claims projects initiatives, including network efforts
Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Client Account Managers, Operations, Information Systems, Client Representatives and Client leadership team
Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS:
Data entry and claims processing knowledge
Has a working knowledge of interface systems that include the Client claims system, Meta storm, Exclaim and Eye Net
Some basic working knowledge of software programs, specifically Excel and Access
Understands third party benefits and administration
Strong customer service focus
Ability to work well under pressure and multi-task
EXPERIENCE:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION : High school mandatory
Get job alerts by email.
Sign up now!
Join Our Talent Network!