What are the responsibilities and job description for the Claims Specialist position at Belcan?
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining EyeMed"s managed vision care clients in our core administration system.
MAJOR DUTIES AND RESPONSIBILITIES
* Responsible for setting up new Managed Care groups in the claims system
* Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
* Responsible for creating 'standard' products in the system (using the Product Key Sheet method)
* Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
* Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests
* Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
* Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
* Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
* Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
* Support the management team with misc. projects and resolving assigned Plan setup issues
EDUCATION/EXPERIENCE QUALIFICATIONS
* College degree or equivalent experience required
* Minimum of 1 year claims system experience, preferably in the Healthcare industry
* Basic analytical and problem solving skills
* Good communication and interpersonal skills
* Ability to work independently and with others
* Ability to manage more than one assigned tasks at the same time
Salary : $23
