Claims Processor

Accentuate Staffing; Região Geográfica Intermediária de Tefé; Presencial; BRL 20.000 - 40.000; Tempo integral

Resumo da oferta

An established commercial insurance company is seeking a dedicated Claims Processor to join their team. In this role, you will be responsible for managing various claims support tasks, including cataloguing documents, preparing reports, and assisting with inbound claims calls. This position offers cross-functional training, allowing you to develop your skills in a dynamic environment. If you have a passion for customer service and a keen eye for detail, this opportunity is perfect for you. Join a supportive team where your contributions will help enhance the customer experience and streamline claims processing.

Qualificações

• 2+ years of customer service or claims experience required.
• Proficiency in MS Office and CRM systems preferred.

Responsabilidades

• Ensure high customer satisfaction by adhering to service levels.
• Index documents and prepare reports based on jurisdictional requirements.

Conhecimentos

Customer Service

Claims Processing

Data Entry

Problem Solving

Adaptability

Formação académica

High School Diploma

Ferramentas

MS Office

Outlook

ImageRight

8×8

Advanced Claims

Descrição da oferta de emprego

Accentuate Staffing is currently recruiting for a Claims Processor for an established commercial insurance company in Raleigh. The Claims Processor will receive cross-functional training in various claims support tasks such as: cataloguing incoming electronic documents for the entire claims department, preparing and sending daily, weekly, monthly claims reports, as well as other duties as needed. This role will also assist with claims inbound calls with the goal of providing an exceptional customer experience.

Responsibilities:

• Adhere to the Claims Support schedule to ensure call service levels are met and customer satisfaction remains high.
• Index documents accurately and consistently attain monthly goal.
• Prepare reports and letters, completing and submitting them on time based on jurisdictional requirements.
• Initiate offsite check printing and prepare EOB’s daily.
• Respond to inbound calls from both internal and external customers and handle appropriately in a timely manner.
• Process unidentified mail, agent mailings and underwriting return envelopes to proper resolution.
• Investigate provider inquiries regarding bills and payments, providing EOBs as requested.
• Report any challenges, defects with workflows to Claims Support Supervisor
• Demonstrate proficiency with ImageRight, 8×8 and Advanced Claims.
• Issue payments for claims file expenses as directed.
• Process Entity Entry (I-9) to ensure compliance.
• Photocopying claim files, cataloguing medical records and electronic claim file data including EDI and other similar items.
• Perform data entry functions as directed by Adjusters and Claim Services Manager

Requirements:

• High school diploma or equivalent
• At least 2 years of customer service/support experience and/or two years of commercial insurance and/or claims experience or an equivalent combination of education and experience.
• PC Computer skills (MS Office, Outlook); knowledge of policy processing systems, imaging systems and/or CRM systems is a plus.
• Excellent customer relationship management skills required.
• Ability to learn quickly and adapt to changing environment.
• Solid customer focus and soft skills