4 дня назад
Claim Operations Specialist
45 400 - 74 900$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claim Operations Specialist (Insurance Claims): Supporting claim professionals and customers by managing claim documentation, financial transactions, records, reports, and operational workflows with an accent on customer service, claims administration, and financial accuracy. Focus on processing claim payments, reconciling discrepancies, maintaining accurate data, and coordinating medical, legal, and vendor documentation.
Location: MN - St. Paul, United States
Salary: $45,400–$74,900 annually, plus performance-based cash incentive eligibility.
Company
is a property and casualty insurance company focused on serving customers and communities through collaborative and innovative operations.
What you will do
- Respond to customer questions and concerns, triage callers, and answer claim status and payment inquiries.
- Partner with claim professionals to document claim files, request records, review medical bills and wage statements, and prepare legal and medical review materials.
- Process claim payments, vendor invoices, attorney expenses, medical processing fees, returned checks, voided checks, and credits.
- Maintain accurate records, update data discrepancies, generate operational and financial reports, and document completed work.
- Perform financial controls, reconciliations, data assessments, and data entries in line with established standards.
- Process incoming and outgoing mail, manage claim file storage transitions, and distribute supplies or equipment.
Requirements
- High school diploma or GED.
- One year of service-related work experience or a bachelor’s degree.
- Experience using Microsoft Office, email, web-enabled applications, and database software.
- Strong verbal and written communication, analytical thinking, judgment, decision-making, accountability, and relationship management skills.
- Ability to occasionally lift items weighing up to 20 pounds.
Culture & Benefits
- Health insurance coverage is available from the first day of employment for eligible employees and family members.
- Dollar-for-dollar 401(k) matching is provided on the first 5% of eligible pay, along with a -funded pension plan.
- At least 20 paid days off annually plus nine paid company holidays.
- Wellness resources include discounts, caregiving support, mental health services, counseling, and health coaching.
- Volunteer and matching gift programs support community involvement.
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