Claims Specialist

2 days ago


Mason, United States Russell Tobin Full time

Russell Tobin's client is hiring a Claims Specialist in Mason, OH


Employment Type: Contract

Location: Hybrid Mason, OH 45040

Pay rate: $20-$25/hr


Responsibilities:

  • Responsible for setting up new groups in the claims system
  • Responsible for fulfilling requested revisions to the existing group in the claims system (except Reseller product changes)
  • Responsible for creating “standard” products in the system (using the Product Key Sheet method)
  • Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
  • Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests
  • Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
  • Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
  • Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
  • Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
  • Support the management team with misc. projects and resolving assigned Plan setup issues


Requirements:

  • College degree or equivalent experience required
  • Minimum of 1 year claims system experience, preferably in the Healthcare industry
  • Basic analytical and problem-solving skills
  • Good communication and interpersonal skills
  • Ability to work independently and with others
  • Ability to manage more than one assigned task at the same time


Benefits that Russell Tobin offers:

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.


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