Certified Woman & Minority Owned

Claims Processor


Reference Number: SROHCP118

Claims Processor
experience  Not Disclosed
location  MASON , OH
duration  2.0 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Services
duration  $16.51/hour - $18.51/hour
Job Description

Description/Comment:

Brief Description of Work: Billing routine vision claims in insurance portals
Specific Skills/experience needed: excel skills, effective communication skills, analytical skills, experience processing insurance claims.

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 adjustments
Consistently achieves key internals with respect to production, cycle time, and quality
May participate on non-complex special claims projects initiatives, including network efforts
Understands 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 client leadership team
Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
Proactively works with supervisor to develop self-remediation plan when standards are not being met

KNOWLEDGE & SKILLS:

Data entry and claims processing knowledge
Has a working knowledge of interface systems that include the clientclaims system, Metastorm, Exclaim
Some basic working knowledge of software programs, specifically Excel and Access
Understands third party benefits and administration
Strong customer service focus
Ability to work well under pressure and multi-task

EXPERIENCE:

0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications

EDUCATION: High school mandatory

Note :

Hybrid - 3x a wee(Tuesday, Wednesday and Thurs)k; Training 100% on site.
Work Hours: 8-5 (1 hr lunch) or 8-4:30 (1/2 lunch)
Estimated Hours Per Week: 40 / week
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

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