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Claims Processor
2 months ago
Russell Tobin's client, a leading manufacturing company is hiring Claims Processor in Mason, OH 45040
Title: Claims Processor
Duration: 04+ Months with possibility of extension
Shift: 8AM 04:30PM (30 Minutes Lunch)
Location: Mason, OH 45040 (Hybrid)
Job Description:
The ideal candidate will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists.
Responsibilities:
- Execute the preliminary steps to build a new client structure for implementation requests routed through shared Salesforce queue; using standard client set-up guideline(s) and process(es)
- Initiation of and accurate and timely tracking for all completed tasks using proprietary Salesforce Implementation Tracker Project Management tool
- Benefit set-up validation in core Facets system and communicating to implementation owners any discrepancies with expected outcome
- Execution of new client online portal access set-up; includes sending the appropriate communication email templates, tracking status and reporting any identified issues.
- Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators (TPAs)
- Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing.
Additional Qualifications:
- Advanced Microsoft Excel Skills
- Experience with Medicare and Medicaid
- Data Entry Skills
- Hybrid Work Schedule
- Compliance and Security Requirements
- Attention to Detail
- Experience with Cloud-Based Applications
- Compliance with Remote Work Protocols
Benefits Info
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.
