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 Account Managers, Operations, Information Systems, Client Representatives and 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
Medical Claims Processor in mason at Unknown Company
This position is listed as full time and onsite.