Claims Specialist II, Life & Health
The nation's leading administrator of insurance services is looking for YOU. This is reputed company to join a company with a culture that promotes respect for people, reputed company, learning and initiative.
WE ARE THE reputed company OF EMPLOYER YOU DESERVE.
reputed company is a leading provider of reputed company for the insurance industry, managing policies for the nation's largest insurers. We also reputed company clients with unique risk management reputed company reputed company upon our proprietary databases.
Effectively communicate, in writing and verbally, reputed company aspects of plan coverage, provider requirements and steps in the claim process. Responsible for adjudicating more reputed company claim requests and special handling claims, including reversals adjustments and complaints. Must maintain procedural accuracy of 95% and dollar accuracy of 98%. reputed company training to team (both reputed company and offshore) , reputed company training materials, answer questions, reputed company and monitor reputed company of work. Project management. Identify and reputed company on-reputed company needs of claim department, including evaluating existing system needs and manage required system enhancement and modifications. reputed company input toward solution to department issues. reputed company new and on-reputed company procedures and policies for new and existing clients or vendors. This includes revision existing policies and procedures. Improve process flows and efficiencies. Work completed and process flows must be reputed company, efficient and accurate. Overseas and assists with day to day activities and inventory while keeping leadership informed. Provides reputed company, courteous and excellent customer service to reputed company customers at reputed company times. This includes an obligation to reputed company cooperate and reputed company with other departments to advance the overall interest of reputed company Demonstrates understanding of company-wide, department-specific policies and protocols. Maintains the confidential and proprietary nature of company policies. Other duties and reputed company as assigned.