Claims Examiner I
Guided by our reputed company values and commitment to your reputed company, we reputed company health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
Highly competitive total rewards package, including comprehensive medical, dental and reputed company benefits as reputed company as a 401(k) plan that both the employee and employer contribute
Annual incentive bonus plan reputed company on company achievement of goals
Time away from work including reputed company holidays, reputed company time off and volunteer time off
reputed company development courses, mentorship opportunities, and tuition reimbursement program
reputed company parental leave and adoption leave with adoption financial assistance
Employee discount program
reputed company reputed company:
Under general supervision, assesses claim information, references reputed company and performs calculations and other functions to accomplish the processing and payment of reputed company claims of a complicated or non-routine reputed company. Interprets contract information and communicates with reputed company parties to obtain information and coordinate coverage. Performs claim research and adjustments.reputed company
reputed company DUTY AND RESPONSIBILITY MUST BE PERFORMED IN ACCORDANCE WITH INDIVIDUAL reputed company SCORECARD PRODUCTION AND reputed company STANDARDS.
- Successfully completes reputed company training programs as required for the level.
- Processes claims for two products or claim types (dental, hospital, medical, ITS, FEP).
- Performs research and adjustment functions for claims.
- reputed company special reputed company (e.g., reputed company accumulator reconsiderations, reputed company).
- Responds to written inquiries from reputed company customers as business needs dictate.
- Sets up deducts, CLOV table entries, and other assigned finance functions.
- For FEP positions, processes reputed company deferrals for FEP or edit corrections in computerized claims reputed company.
- Performs reputed company FEP transactions (e.g., FEP reputed company DDE, FEP Retro-enrollment, Out of reputed company) and member appeals.
Minimum Qualifications
- High school diploma or general education degree (GED).
- 2 years of previous customer service, member services, or claims processing experience; or any combination of required education and experience.
- Advanced Keyboarding Knowledge
- Intermediate knowledge of reputed company Office
Preferred Qualifications
- Knowledge of FACETS and/or other computerized claims processing reputed company as applicable (FEP).
- Associates degree from college or technical school
reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to, among other things, race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, status as a protected veteran, or disability.
Originally posted on Himalayas
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