Role OverviewResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals, identifying incorrectly processed claims, and completing adjustments and related reprocessing actions.
What You Will Do
Responds to written and/or telephone inquiries, accurately documents inquiries, identifies and processes adjustments and reprocessing actions, and enters claims into the claim system.
Why It Might Be a Fit
Identifies complaints and inquiries of a complex level, refers suspected fraudulent activities and system errors to the appropriate departments, and ensures claims are processing according to established quality and production standards.
Requirements
- A High School Diploma or equivalent
- 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area OR bachelor’s degree in lieu of work experience
- Good Verbal and Written Communication Skills
- Strong Customer Service Skills
- Good Spelling, Punctuation and Grammar Skills
- Basic Business Math Proficiency
- Ability to Manage Confidential or Sensitive Information with Discretion
Benefits
- Subsidized health plans
- Dental and vision coverage
- 401K retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
- Employee Assistance
- Discounts to movies, theaters, zoos, theme parks and more
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