Insurance Claims Specialist
4 weeks ago
As an Insurance Claims Specialist at Global Channel Management, you will be responsible for researching and applying insurance payments from clients to the appropriate system invoice. This role requires a strong understanding of mainframe computers and systems, specifically AS400, as well as a high level of detail orientation and flexibility in working in both team and individual environments.
Key Responsibilities:
Research and apply insurance payments from clients to the appropriate system invoice.
Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service, and service/material procedure codes and related charges.
Continuously improve methods for research and in order to effectively and efficiently process transactions.
Process transactions, apply cash, member bills, resubmit invoices, write-offs, etc.
Follow data processing guidelines to meet established departmental standards.
Communicate with supervisor regarding transactions processed in a timely manner.
Identify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes.
Requirements:
2+ years of experience in insurance processing or a related field.
Strong understanding of mainframe computers and systems, specifically AS400.
High level of detail orientation and flexibility in working in both team and individual environments.
Proficient in Microsoft Excel applications.
Ability to understand and honor high levels of confidentiality and promote integrity and strong work ethics.
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