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Claims Coordinator

Careers Integrated Resources Inc
Mason, OH Full Time
POSTED ON 1/14/2025
AVAILABLE BEFORE 4/9/2025

Job Title : Claims Coordinator

Location : Mason, OH 45040

Contract : 10 Months (Possibility of Extension)

Work hours : 8 : 00 am – 5 : 00 pm with an hour lunch, or 8 : 00 am - 4 : 30 pm with 30-minute lunch.

Pay range : $18.00 / hr. on w2

If onsite, please indicate if hybrid or workplace only for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed

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, Metastorm, Exclaim and EyeNet
  • 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
  • Salary : $18

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