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Claims Administrator

  • Location: Atlanta
  • Salary: 17.0-18.5
  • Job Type:Contract

Posted about 1 month ago

  • Sector: Professional
  • Contact: Daniella Adinolfi
  • Contact Email: daniella@industrial-staffing.com
  • Contact Phone: 6466520984
  • Start Date: 03/10/2021
  • Job Ref: 21-04324

Accountabilities
Review of new documents
Sets up new claims in Ultera and CHESS claim systems
Assignment of Eligibility Tasks to the appropriate claims examiner based on predetermined criteria
Ability to identify complex diagnoses and to label these claims accordingly
Monitors and reports on new claim inventory levels
Able to meet production goals on a consistent basis
Ability to maintain a high level of accuracy and identify errors for correction
Can effectively communicate the claim status or request information from employees employers or doctors and can accurately address any questions or concerns with confidence
Responds to all email and phone inquiries within 24 hours
Responds to correction emails within required turnaround time
Handles various administrative functions including but not limited to special mailings filing collating faxing printing files etc
Establishes excellent relationship with claim organization
May assist in special project work or other duties as defined by the needs of the business
Maintains high levels of customer service with internal and external customers
Willingness to crosstrain on all Front End operations responsibilities
Requires critical thinking skills high degree of accuracy quality work products ability to multitask and maintain a high production pace and focus
Requires a working knowledge of the company claim processing procedures and systems applications
Must possess appropriate written and verbal communication skills to communicate with various departments
The position responsibilities described above provide only a general outline of the duties of this role As the position develops and changes with the needs of the business you will be expected to adapt to the changes accordingly



Qualifications
BSBA degree preferred or equivalent work experience
Proficient with Lotus Notes Windows and Microsoft application MS Excel MS Word MS Power Point
Ability to work and solve problems independently
Must have a strong working knowledge of systems applications and be comfortable using computers
Should be results oriented be able learn quickly and make sound decisions after appropriate training
Ability to work independently or part of a team
Good communication oral and written skills
Time management skills is required