Claims Disbursement Specialist
2 weeks ago
Essentials Duties and Responsibilities: include the following. Other duties may be assigned:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Print and process daily claims checks for clients.Communicate with claims teams to resolve payment-related issues.Handle voids, stop payments, and ACH debit/credit transactions.Monitor client escrow accounts and ensure adequate funding.Process and transmit positive pay files to banking institutions.Research, deposit, and record refunds and overpayments.Manage third-party recoverable checks, including paperwork and deposits.Prepare and distribute transaction and reconciliation reports per client requirements.Evaluate and improve internal controls to prevent duplicate or missed check printing.Ensure timely mailing of all checks.Explore and support future implementation of Electronic Funds Transfer (EFT) for providers and claimants.Reconcile payments against month-end financial reports.Perform other duties as assigned.The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Qualifications /Required Education and Experience:High school diploma or equivalent required; associate or bachelor’s degree in accounting, finance, or business preferred.Minimum of 1-2 years of experience in claims processing, disbursements, or a related financial operations role.Understanding of Workers’ Compensation claims is preferred.Proficiency in Microsoft Excel is preferred.Experience working with banking systems and financial reconciliation processes.Skills and Competencies:Strong attention to detail and accuracy.Excellent organizational and time management skills.Ability to work independently and manage multiple priorities.Strong communication skills, both written and verbal.Problem-solving and analytical thinking.Ability to maintain confidentiality and handle sensitive financial information.Team-oriented with a proactive and collaborative approach.Knowledge Areas:Claims processing and disbursement workflows.Escrow account management and reconciliation.Banking operations including ACH and positive pay.Financial reporting and audit controls.Workers’ Compensation claims (preferred).Position Type/Expected Hours of WorkThis is a full-time position on-site in Brentwood, TN. Standard business hours of operations are - Monday through Friday, 7am- 4pmWork Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.
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