Claims Coordinator

Job Title

Job Overview: Pay Range: $13.78hr - $18.78hr

Responsibilities:

• 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.
• Drives 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 And Skills:

• Data entry and claims processing knowledge.
• Has a working knowledge of interface systems that include the client claims system, Metastorm, Exclaim and client.
• 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.

Experience:

• 1 years of claims processing/data entry experience.
• Knowledge of PCs and spreadsheet applications.

Education:

• High school mandatory.