Compensation: $19-$22hr DOE
Availability: Monday - Friday, 8am - 5pm. This role is set to start ASAP and will go into the early part of 2025.
Our client is a third-party firm that specializes in administering employer benefit plans. They aim to create a state-of-the-art, fully integrated benefit management platform to meet their clients' needs.
Our client wants to add 2 temporary Claims Specialist to their Claims Department. These roles will start ASAP and last into early 2025!
Duties & Responsibilities:
- Learn to request information to complete or review claims using standard procedures and letters and ask questions as needed.
- Performs computations and processes claims independently
- Communicate efficiently by telephone, in writing, or in person with all personnel, members, providers, external vendors, or others regarding claim benefit questions or information.
- Communicate with the Quality Assurance Supervisor and their trainer to request and receive data on pending claims.
- Learns to apply procedures to third-party liability claim claims.
- Exercises professional judgment on daily tasks and seeks approval from supervisor or trainer when faced with new or unfamiliar tasks.
- Maintain a ten-business-day turnaround time on assigned claim responsibilities.
- Maintain and update a pending file with follow-ups on correspondence as required.
- Perform other duties as assigned.
Qualifications:
- Six months or more of admin or office related experience.
- Working knowledge of essential office equipment.
- Positive interpersonal communications with internal personnel, external clients, and vendors.
- Demonstrated ability to keep calm and positive within all communications.
- Proven ability to accurately and timely review and edit documents.
- Utilize computer, phone systems, and reference materials to perform the position's essential functions effectively.
- Previous experience using Microsoft Office Software.
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