Claims Processor

7 days ago

Mason, United States Russell Tobin Full time
Job DescriptionJob Description

Russell Tobin & Associates is seeking a Claims Processor for an eyewear retail brand.

Job Title: Claims Processor

Pay: $16.50/hr - $17.50 /hr based on experience

Schedule: Monday - Friday // 40 hours/week // hr lunch) or 8-4:30 (1/2 lunch)

Location: Hybrid in Mason, OH - 3x/week - Training is 100% onsite

Contract Duration: 3-months contract to hire

Start Date: ASAP

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.

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

Minimum Qualifications:

  • High school diploma
  • 1+ years of experience in data entry and claims processing
  • Some basic working knowledge of software programs, specifically Excel and Access
  • Understands third party benefits and administration
  • Strong customer service focus
  • Knowledge of PCs and spreadsheet applications

Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies.

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.

Company DescriptionRussell Tobin is an equal-opportunity employer and values diversity in the workplace. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.Company DescriptionRussell Tobin is an equal-opportunity employer and values diversity in the workplace. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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