Claims Speciaist

New York  ‐ Onsite
This project has been archived and is not accepting more applications.
Browse open projects on our job board.

Keywords

Description

Analyze routine insurance claims to determine the extent of the insurance carrier's liability and to settle claims in accordance with the plan provisions.
ESSENTIAL DUTIES:
The Claims Specialist sets adequate reserves to ensure proper reporting. Compares data on claim form with insurance plan to ascertain completeness and validity of claim. Examines claim form and other records to determine insurance coverage. Proactively works to resolve claim as expeditiously as possible. Reviews and analyze detailed medical records. Calculates reimbursement of benefits according to the schedule of coverage. Runs various claim reports as directed by the account. Approves claims at the appropriately demonstrated assigned authority level. Handles difficult phone calls. Composes special correspondence. Works on special projects and tasks as assigned. Other duties as assigned.

SKILLS:

REQUIRED SKILLS AND EXPERIENCE:
Ability to review medical records, experience working in fast paced production environment, detail oriented. Claims adjudication experience or relevant Berkely experience. Writes clearly, concisely and effectively. Communicates verbally effectively and with impact. Computer literate. Detail oriented. Ability to multi-task Manages time effectively. Committed to superior customer servicing. Ability to work independently, a self- starter
Additional Skills:
Excellent written and oral communication skills. Excellent organizational skills. Computer literate. Professional. Ability to work in a fast paced environment. Prior experience working on No-Fault, Bodily Injury or Workman's Comp claims is very beneficial
Start date
n.a
From
Synectics
Published at
31.03.2015
Project ID:
877374
Contract type
Freelance
To apply to this project you must log in.
Register