What are the responsibilities and job description for the Claims Processor position at Careers Integrated Resources Inc?
Job Title: Claims Processor
Location: Mason, OH 45040 (Hybrid – 3days a week, Tuesday, Wednesday, and Thursday)
Duration: 3 months (Possibility of Extension)
Pay Range: $17.85/hr. on w2.
Note: Training will be 100% on site.
Job Description:
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
Experience:
• 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
Education: High school mandatory
Location: Mason, OH 45040 (Hybrid – 3days a week, Tuesday, Wednesday, and Thursday)
Duration: 3 months (Possibility of Extension)
Pay Range: $17.85/hr. on w2.
Note: Training will be 100% on site.
Job Description:
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
Experience:
• 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
Education: High school mandatory
Salary : $18
