![Insurance Administrative Solutions](https://media.trabajo.org/img/noimg.jpg)
Claims Customer Service Representative
1 week ago
28-Feb-2022 to 15-Mar-2022 (EST)
Rome, GA, USA
Hourly
Full Time
*Medical - Dental - Vision - 401K - Basic and Supplemental Life Insurance - Long and Short Term Disability*
**ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS**Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results. Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.
**Location: Rome, GA**
**JOB SUMMARY:** Examine, perform, research and make the decisions necessary to properly adjudicate telephone and written inquiries. Interpret contract benefits in accordance with specific claims processing guidelines. Communicate problems identified relevant to the claims processing system to the appropriate people. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions. Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach.
**ESSENTIAL DUTIES & RESPONSIBILITIES** (other duties may be assigned as necessary):
Interpret contract benefits accurately to policyholder, agents, and providers with a positive and professional approach.
Provide claim status to policyholders or providers with a positive and professional approach.
Send out refund request letters and follow-up as necessary.
Produce correspondence to customers.
Answer calls as required by company policy in a helpful, professional, timely manner.
Place outgoing calls as needed to provide or obtain information.
Document (written/on-line) all calls while in progress.
Transfer calls to employees in other departments as required to meet customer needs.
Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.
Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.
Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.
**EDUCATION/EXPERIENCE:**
High School Diploma or GED equivalent
Minimum of one (1) year related experience in a fast paced call center required.
Experience in medical/insurance preferred.
Experience with Medicare Supplement preferred.
**BENEFITS:**
Medical/Dental/Vision Benefits first of the month after hire date
401(k) Company matching and contributions are immediately vested
15 days PTO after 90 days
Referral program
11 Paid Holidays
Employee Assistance Program
Tuition Reimbursement
**SCHEDULE:**
Monday to Friday
37 hour work week
IAS is an equal opportunity employer.
Location (city, state or zip code) You must select a location. Education status You must select an education status answer. Seeking for You must select a seeking status answer.
-
Claims Coordinator
1 week ago
Rome, Georgia, United States ServiceMaster Restore Full timePosition Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to...
-
Patient Service Representative-The Breast Center
1 month ago
Rome, Georgia, United States Atrium Health Full timeOverview The Patient Services Representative is responsible scheduling and/or checking patients into the department and for the representation of patients and families in non-medical matters pertaining to their needs, comfort and personal satisfaction.The qualified candidate will possess the following:A. EducationHigh school graduate or equivalentB....
-
Customer Engagement Engineer
1 week ago
Rome, Georgia, United States Booz Allen Hamilton Full timeCustomer Engagement Engineer The Opportunity: We are seeking a skilled and detail-oriented individual to join our team as a Customer Engagement Engineer. In this role, you will be responsible for meeting with potential customers to explain our cloud broker services and help identify where those services can address customer project requirements. You will...
-
Material Handler
4 weeks ago
Rome, Georgia, United States Kerry Full timeAbout KerryKerry is the world's leading taste and nutrition company for the food, beverage and pharmaceutical industries. Every day we partner with customers to create healthier, tastier and more sustainable products that are consumed by billions of people across the world. Our vision is to be our customers' most valued partner, creating a world of...
-
Material Handler
4 weeks ago
Rome, Georgia, United States Kerry Full timeAbout KerryKerry is the world's leading taste and nutrition company for the food, beverage and pharmaceutical industries. Every day we partner with customers to create healthier, tastier and more sustainable products that are consumed by billions of people across the world. Our vision is to be our customers' most valued partner, creating a world of...
-
Business Office Customer Service Rep
1 week ago
Rome, Georgia, United States Harbin Clinic Full timeJob Description Job Summary:This position will perform a variety of clerical duties necessary to the daily operation of the Business Office. These duties will include but are not limited to answering the Business Office switchboard phone, posting payments and adjustments in the billing system, scanning documents, and distributing...
-
contact representative
2 months ago
Rome, Georgia, United States Department Of Defense Full timeSummary Defense Finance and Accounting Services (DFAS) mission is to lead the DoD in finance and accounting by ensuring the delivery of efficient, exceptional quality pay and financial information.This announcement will be used to fill positions with an entry grade of GS-04, or GS-05 with a target grade of GS-05. The minimum hourly rate for a GS-04 is...
-
contact representative
4 weeks ago
Rome, Georgia, United States Department Of Defense Full timeSummary Defense Finance and Accounting Services (DFAS) mission is to lead the DoD in finance and accounting by ensuring the delivery of efficient, exceptional quality pay and financial information.This announcement will be used to fill positions with an entry grade of GS-04, or GS-05 with a target grade of GS-05. The minimum hourly rate for a GS-04 is...
-
HSE Specialist
1 month ago
Rome, Georgia, United States Kerry Full timeRequisition ID 52267Position Type (US)Full TimeCareer Function Quality Recruiter Posting Type DNILeading to better encompasses all we do at Kerry, it's how we've become the worlds leading taste and nutrition company. Whether it's building and manufacturing sustainable solutions for food, beverage or pharmaceutical consumers, our commitment to lead the world...
-
Field Service Technician
1 week ago
Rome, Georgia, United States Insight Global Full timeTitle: Resident Field Service Technician Openings: 1 Duration: Perm Location: Rome, Georgia OR Savannah, GA (must live within 30-40 minutes of the mill) Pay: $65k-$95k max (pay depends on experience) Interview Process: 2 rounds (first round 30-minute phone screen with hiring manager, second round virtual panel interview with hiring manger and his...
-
Veterinary Medical Officer
1 month ago
Rome, Georgia, United States Animal And Plant Health Inspection Service Full timeThe duties described are for the full-performance level. At developmental grade levels, assignments will be of more limited scope, performed with less independence and limited complexity. The duties may include, but are not limited to: Schedules and completes all pre-licensing inspections, routine periodic inspections, deficiency follow-up inspections, and...
-
emergency management specialist
4 weeks ago
Rome, Georgia, United States Defense Finance And Accounting Service Full timeBriefs and trains exercise participants on exercise rules, objectives and operations. Provides Site-level Business Continuity Planning to include employing all subject areas of the common body of knowledge of Business Continuity Planning, which includes creating, testing, and evaluating plans at all levels. Assists in the preparation and coordination of DFAS...
-
emergency management specialist
2 months ago
Rome, Georgia, United States Defense Finance And Accounting Service Full timeBriefs and trains exercise participants on exercise rules, objectives and operations. Provides Site-level Business Continuity Planning to include employing all subject areas of the common body of knowledge of Business Continuity Planning, which includes creating, testing, and evaluating plans at all levels. Assists in the preparation and coordination of DFAS...
-
Registrar - Hospital
1 week ago
Rome, Georgia, United States Atrium Health Full timeAssisting patients during the onsite registration, admission, and arrival processes for scheduled and unscheduled visits in inpatient, emergency and outpatient settings, and perform insurance verification for "walk-in" visits as necessary. The Patient Access Representative I services one or more hospital facilities and reports to the Supervisor / Manager of...
-
Assistant Manager
1 week ago
Rome, Georgia, United States Excel Fitness Full timeResponsibilities The Assistant Manager will be responsible for assisting in the oversight of gym operations to ensure an exceptional "Judgement Free" member experience as well as a financially successful club Assist in recruiting, hiring, training and developing a high performing staff consisting of Member Service Representatives, Trainers and Custodians ...
-
Retail Store Cleaning Associate
3 weeks ago
Rome, Georgia, United States TJ MAXX Full timeStyle is never in short supply at our more than 1,000 TJ Maxx stores. They all have different products, but the same commitment to the thrill of the find. From designers straight off the runway to statement jewelry, we offer exciting surprises that make the everyday a little more fun. Same with working here. Our environment is ever-changing, yet always...
-
Assistant Store Manager
4 weeks ago
Rome, Georgia, United States Circle K Full timeStore : 8709 Nys Route 26 Turin Rd, Rome, New York 13440Availability - Shift/Days Flexible AvailabilityAssistant ManagerWe want you to join our team as an Assistant Manager. If you have the desire to be challenged, work in a fast-paced, fun environment and create a career in management – look no further.As an assistant manager, you will enjoy:Medical,...
-
Assistant Store Manager
4 weeks ago
Rome, Georgia, United States Circle K Full timeStore : 8709 Nys Route 26 Turin Rd, Rome, New York 13440Availability - Shift/Days Flexible AvailabilityAssistant ManagerWe want you to join our team as an Assistant Manager. If you have the desire to be challenged, work in a fast-paced, fun environment and create a career in management – look no further.As an assistant manager, you will enjoy:Medical,...
-
Registered Nurse 3 Med/Surg Full Time
1 month ago
Rome, Georgia, United States Atrium Health Full timeOverview The Registered Nurse (RN) is responsible for implementing the nursing process based on knowledge and experience in providing care for patients. The functions of a Registered Nurse are to collect patient health data, analyze the data, identify expected outcomes individualized to the patient, develop a plan of care that prescribes interventions to...
-
Registered Nurse 3 Med/Surg Full Time
4 weeks ago
Rome, Georgia, United States Atrium Health Full timeOverview The Registered Nurse (RN) is responsible for implementing the nursing process based on knowledge and experience in providing care for patients. The functions of a Registered Nurse are to collect patient health data, analyze the data, identify expected outcomes individualized to the patient, develop a plan of care that prescribes interventions to...