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Insurance Claims

Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Client Account Managers, Operations, Information Systems, Client Representatives and Client leadership team . If onsite, please indicate if hybrid or workplace only for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed .

ACTIVE

Job Title: Claims Coordinator Location: Mason, OH 45040 Contract: 10 Months (Possibility of Extension) Work hours: 8:00 am – 5:00 pm with an hour lunch, or 8:00 am - 4:30 pm with 30-minute lunch. Pay range: $18.00/hr. on w2 If onsite, please indicate if hybrid or workplace only for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication. MAJOR DUTIES & RESPONSIBILITIES: • Processing - Efficiently and accurately processes standard claims or adjustments • Consistently achieves key internals with respect to production, cycle time, and quality • May participate on non-complex special claims projects initiatives, including network efforts • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs. • Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Client Account Managers, Operations, Information Systems, Client Representatives and Client leadership team • Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy • Proactively works with supervisor to develop self-remediation plan when standards are not being met KNOWLEDGE & SKILLS: • Data entry and claims processing knowledge • Has a working knowledge of interface systems that include the Client claims system, Metastorm, Exclaim and EyeNet • Some basic working knowledge of software programs, specifically Excel and Access • Understands third party benefits and administration • Strong customer service focus • Ability to work well under pressure and multi-task

Careers Integrated Resources Inc

Claims Coordinator

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Careers Integrated Resources Inc