What are the responsibilities and job description for the Data Entry Claims specalist position at Smart Ims?
Supports and promotes change management and / or departmental / enterprise initiatives within assigned area(s) of responsibility.
Meets or exceeds departmental quality and service standards.
Delivers routine work independently in accordance with established procedures and guidelines in a timely manner and meets deadlines appropriately.
Makes routine & nonroutine decisions applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it in accordance with established procedures & guidelines
Determines eligibility and confirms effective dates for benefit elections based on contractual guidelines.
Leverages critical thinking and problemsolving skills to create and modify member level records across multiple products applications platforms.
Maintains accurate member records by verifying dates names salary figures and other information provided by groups.
Applies policy provisions for effective dates evidence of insurability and other pertinent information to determine necessary changes.
Considerate of what the customer will experience in all actions. Recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness on system work independently.
Qualifications :
EDUCATION AND EXPERIENCE
High School or GED (Minimum Required)
No prior experience required
OTHER SKILLS AND ABILITIES
Ability to perform repetitive tasks while maintaining speed of work accuracy and attention to detail without loss to productivity.
Ability to perform under stress in cases of emergency critical or hazardous situations.
Ability to work with others in a team environment.
Demonstrates ability to work in a fastpaced environment.
Demonstrates interpersonal skills with a collaborative style.
Demonstrates organizational skills with the ability to prioritize workload and multitask while maintaining strict attention to detail.
Demonstrates solid relationship management skills with internal and / or clients (e.g. management peers colleagues customers etc.).
Demonstrates the ability to use sound judgment and discretion regarding confidential information.
Proficiency with Microsoft Office Suite (Word Excel PowerPoint Outlook).
Successfully completes regulatory and job training requirements.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Remote Work : Employment Type :
Fulltime
