Claims Specialist

GENERAL FUNCTIONAccurately 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 RESPONSIBILITIESAccurately and timely processes simple to complex incoming payments to customer invoices/accountsEffectively researches and resolves cash application issues using appropriate systems and with internal teams as neededUnderstands and quickly processes changes resulting from new systems, plans, benefit designs, etc.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.Works with manager to provide strong customer service and communication with internal and external clients.Communicates with manager, team members, and clients regarding issues in a timely manner and escalates as necessary to management.Runs assigned queries and reports weekly / monthlyBASIC QUALIFICATIONSHigh School diploma3+ years of experience in cash application or insurance related processesSAP knowledge and experienceHigh level knowledge of MS ExcelAbility to quickly grasp and retain information and conceptsMinimum keystroke per hour requirement of 10,000 alpha and numeric with less than 2% error rateStrong customer service and communication skills, both oral and writtenHigh level of detail orientation, ability to work well under pressure and multi-task/ prioritize issuesFlexibility working in both a team and individual environmentsPREFERRED QUALIFICATIONSPrevious AS400 knowledge and experienceDetailed working knowledge of basic computer operations and systems, i.e.: Web-based search engines, Windows, and Microsoft Office productsPrior experience/knowledge of vision benefits and/or insurance industry