What are the responsibilities and job description for the Claims Representative position at Medical Fund Advisors?
We are seeking a highly organized and detail-oriented Claims Representative to join our team. The ideal candidate will be responsible for processing medical claims efficiently and accurately while working with coworkers in a pooled setting. This role requires exceptional communication skills, strong attention to detail, and excellent critical thinking capabilities.
This is an in-office position.
Responsibilities:
- Review claims and evaluate for coverage.
- Process medical claims and maintain accurate records.
- Verify claim information and ensure all necessary documentation is submitted.
- Correspond with clients, outside vendors, and financial institutions to verify claim information and resolve claims issues.
- Maintain and update files, ensuring all data is entered correctly.
- Assist with administrative tasks such as file maintenance, answering phones, and managing correspondence.
- Provide exceptional customer service to clients.
Qualifications:
- Insurance background preferred.
- Previous experience in claims processing or administrative support preferred.
- Strong organizational and multitasking abilities.
- Proficiency in Microsoft Office Suite (Work, Excel, Outlook).
- Attention to detail and problem-solving skills.
- Ability to work independently and as part of a team.
Job Type: Part-time
Benefits:
- Paid time off
Schedule:
- Day shift
- Monday to Friday
- No nights
- No weekends
Shift availability:
- Day Shift (Required)
Ability to Commute:
- Exton, PA 19341 (Required)
Work Location: In person