Description/Comment:GENERAL FUNCTION:Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.MAJOR DUTIES & RESPONSIBILITIES:Processing - Efficiently and accurately processes standard claims or adjustmentsConsistently achieves key internals with respect to production, cycle time, and qualityMay participate on non-complex special claims projects initiatives, including network effortsUnderstands and quickly operationalizes processing changes resulting from new plans, benefit designs.Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include client Account Managers, Operations, Information Systems, Client Representatives and the client leadership teamDrives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracyProactively works with supervisor to develop self-remediation plan when standards are not being metKNOWLEDGE & SKILLS:Data entry and claims processing knowledgeHas a working knowledge of interface systems that include the client claims system, Metastorm, Exclaim and EyeNetSome basic working knowledge of software programs, specifically Excel and AccessUnderstands third party benefits and administrationStrong customer service focusAbility to work well under pressure and multi-taskEXPERIENCE:0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applicationsEDUCATION: High school mandatoryNotes:Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed8:00am to 5:00pm VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description/Comment:GENERAL FUNCTION:Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.MAJOR DUTIES & RESPONSIBILITIES:Processing - Efficiently and accurately processes standard claims or adjustmentsConsistently achieves key internals with respect to production, cycle time, and qualityMay participate on non-complex special claims projects initiatives, including network effortsUnderstands and quickly operationalizes processing changes resulting from new plans, benefit designs.Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include client Account Managers, Operations, Information Systems, Client Representatives and the client leadership teamDrives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracyProactively works with supervisor to develop self-remediation plan when standards are not being metKNOWLEDGE & SKILLS:Data entry and claims processing knowledgeHas a working knowledge of interface systems that include the client claims system, Metastorm, Exclaim and EyeNetSome basic working knowledge of software programs, specifically Excel and AccessUnderstands third party benefits and administrationStrong customer service focusAbility to work well under pressure and multi-taskEXPERIENCE:0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applicationsEDUCATION: High school mandatoryNotes:Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
8:00am to 5:00pm
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