Claims Specialist

GENERAL FUNCTION

Accurately and efficiently processes client self-bill files and/or incoming payments to customer invoices/accounts in appropriate systems. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. This position requires team interaction as well as the ability to work independently.

MAJOR DUTIES AND RESPONSIBILITIES

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• Accurately and timely processes simple to complex incoming payments to customer invoices/accounts
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• Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed
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• Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc.
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• Consistently meets or exceeds agreed upon business objectives in productivity, accuracy and cycle time. Proactively works with manager to develop a self-remediation plan when standards are not being met.
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• Works with manager to provide strong customer service and communication with internal and external clients.
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• Communicates with manager, team members, and clients regarding issues in a timely manner and escalates as necessary to management.
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• Runs assigned queries and reports weekly / monthly
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BASIC QUALIFICATIONS

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• High School diploma
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• 3+ years of experience in cash application or insurance related processes
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• SAP knowledge and experience
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• High level knowledge of MS Excel
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• Ability to quickly grasp and retain information and concepts
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• Minimum keystroke per hour requirement of 10,000 alpha and numeric with less than 2% error rate
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• Strong customer service and communication skills, both oral and written
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• High level of detail orientation, ability to work well under pressure and multi-task/ prioritize issues
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• Flexibility working in both a team and individual environments
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PREFERRED QUALIFICATIONS

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• Previous AS400 knowledge and experience
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• Detailed working knowledge of basic computer operations and systems, i.e.: Web-based search engines, Windows, and Microsoft Office products
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• Prior experience/knowledge of vision benefits and/or insurance industry
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