Insurance Claims Specialist
4 weeks ago
About the role at Global Channel Management:
As an Insurance Claims Specialist, you will be responsible for researching and applying insurance payments from clients to the appropriate system invoice. You will also research insurance claim payments in the AS/400 to identify the correct claim based on customer information, date of service, and service/material procedure codes and related charges.
Key responsibilities include:
- Researching and applying insurance payments from clients to the appropriate system invoice
- Researching insurance claim payments in the AS/400 to identify the correct claim
- Continuously improving methods for research and processing transactions to effectively and efficiently process transactions
- Processing transactions, applying cash, member bills, resubmitting invoices, writing off, etc.
- Following data processing guidelines to meet established departmental standards
- Communicating with supervisors regarding transactions processed in a timely manner
- Identifying and recommending systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes
Requirements:
- Working knowledge of mainframe computers and systems in general, including AS400
- Understanding of third-party benefits and administration
- Minimum keystrokes per hour requirement of 10,000 with less than 2% error rate
- High level of detail orientation
- Flexibility working in both team and individual environments
- Proficiency in Microsoft Excel applications
- Understanding and honoring high levels of confidentiality
- Promoting integrity and strong work ethics
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