Workers Compensation Claims Representative managing claims independently with minimal oversight. Conducting thorough investigations and negotiating settlements for insured parties in a hybrid work environment.
About the role
- Claims Representative I processing healthcare claims for payment accuracy. Works with oversight to learn the role within a flexible, virtual environment.
Responsibilities
- Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made
- Researches and analyzes claims issues
- Learning the activities/tasks associated with his/her role
- Works under direct supervision
- Relies on others for instruction, guidance, and direction
- Work is reviewed for technical accuracy and soundness
Requirements
- Requires HS diploma or equivalent
- related experience
- any combination of education and experience which would provide an equivalent background
- experience working in a production and quality driven role preferred
- experience in healthcare and/or health insurance industry preferred
- strong clerical skills
- computer literacy
- ability to navigate multiple platforms efficiently
- good oral and written communication skills
- previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- short and long term disability benefits
- life insurance
- wellness programs
- financial education resources
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