Claims Specialist (Remote)

Claims Specialist

The Claims Specialist will report to the Claims Supervisor in the CDB Operations Department. This role is responsible for driving compassion, confidence and trust while delivering one superior quality experience at a time. This role requires attention to detail to ensure we are processing the claim accurately to ensure a great member experience based on the claim form they've submitted for reimbursement.

Responsibilities:

• Provide excellent customer service to every member.
• Adapt quickly in a fast-paced and time sensitive environment.
• Processes accurate claim data to ensure members receive correct reimbursements.
• Goal orientated, sense of urgency to complete tasks.
• Ability to organize and prioritize work to meet deadlines.
• Utilizes available tools and resources to make informed decisions while processing claims.
• Other duties as assigned.

Years of Experience:

Claims experience preferred.

Degree:

High School Diploma, GED or college degree.

Certification: N/A

Skills & Abilities:

Excellent analytical skills with a proactive nature

Strong organization skills with a drive to meet deadlines

An affinity for accuracy and efficiency

Proficiency in Microsoft Excel, Word (including mail merge) and Outlook

Strong verbal and written communication skills

An aptitude for prioritization and multi-tasking

Strong collaboration skills

A drive to learn and apply new concepts quickly.

Other Requirements:

Ability to work overtime in peak season

Prolonged periods of sitting at a desk and working on a computer