Claims SpecialistWe are seeking a meticulous Claims Specialist to uphold our high standards of quality and procedure adherence, ensuring seamless claim processing in accordance with company policies.
Your responsibilities will include thorough claim reviews, timely completion of tasks to meet production targets, and meticulous attention to detail in system setup and documentation comprehension.
You'll also be tasked with identifying and promptly reporting any discrepancies or issues to management, contributing to the continuous improvement of our processes.Additionally, you will play a pivotal role in the stop loss renewal process under the guidance of our management team.
Your commitment to ongoing training and your ability to enforce company procedures and standards will be essential.
Excellent communication skills are a must, as you'll engage with clients, internal teams, and vendors to ensure customer satisfaction and efficient resolution of inquiries.In addition to your day-to-day responsibilities, you'll have the opportunity to support various projects and special requests, showcasing your versatility and dedication to our team's success.
Your performance will be rewarded and recognized in an environment that fosters growth and provides clear direction for advancement.RequirementsQualifications:High School Diploma required; Associate Degree in Business preferredMinimum of 2 years' experience in claims processingExperience in QicLink or Eldorado system preferred or large claims platformProven ability to establish and maintain positive client relationships and deliver exceptional customer serviceProficiency in Windows and Microsoft Office Suite, particularly Word, Outlook, and ExcelFamiliarity with insurance database systems is advantageousStrong teamwork and collaboration skillsPreferred experience in the healthcare industry, specifically in healthcare administration, health insurance, or medical office settingsRemote work may be considered based on experience and business requirements#J-18808-Ljbffr