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Absence Management Specialist
4 months ago
As a Claims Examiner at Reliance Matrix, you will serve as a crucial link between clients, employees, and healthcare providers. Your role involves ensuring efficient claims management processes to deliver top-notch service to claimants and clients.
Responsibilities:
- Investigate and resolve claim issues in line with departmental and regulatory standards
- Interpret and apply contract provisions accurately
- Code system fields with precise financial and diagnosis information
- Collaborate with internal departments for smooth claims transitions
- Adhere to compliance, department procedures, and regulations
- Contribute to customer service excellence and performance goals
- Engage in continuous training to stay updated on best claim management practices
- Manage Performance Guarantee clients and meet performance metrics
- Maintain confidentiality of personal health information in compliance with HIPPA regulations
- High School Diploma or GED (Bachelor's degree preferred)
- Familiarity with RSL products, systems, and processes
- Proficiency in Microsoft Office
- Strong attention to detail and analytical skills
- Effective communication and collaboration abilities
- Organizational skills and ability to prioritize tasks
- Prior experience in customer service
Work location flexibility available based on Company approval.
Why Choose Us
At Reliance Matrix, we are committed to fostering a diverse, inclusive, and equitable workplace where all employees can thrive. We prioritize your well-being by offering a competitive compensation package and a range of benefits to support your financial, physical, and mental wellness.
Our Benefits Include:
- Annual performance bonus
- 401(k) company match with immediate vesting
- Medical, dental, and vision coverage options
- Life & Disability Insurance provided by the company
- Family-friendly benefits like Paid Parental Leave & Adoption Assistance
- Hybrid work options for eligible positions
- Tuition Reimbursement and Continuing Professional Education
- Paid Time Off, volunteer days, and Employee Assistance Program
- Employee Resource Group program and Diversity Equity & Inclusion Council for networking
- Integrity
- Empowerment
- Compassion
- Collaboration
- Fun
Reliance Matrix is proud to be an equal opportunity employer, valuing diversity and ensuring fair employment practices without discrimination based on race, color, religion, sex, national origin, age, disability, or any other protected classification. Employment decisions are solely based on qualifications and merit.
