Job description
Reference: AB_4052100
Claims Analyst is responsible for the processing of all Consumer Directed Healthcare (CDH) claims. This position is also responsible for the adjudication of similar supplemental insurance products. This person will directly report to the Claims Manager for supervision purposes.
salary: $21 - $21 per hourshift: First
work hours: 8 AM - 5 PM
education: Bachelor
Responsibilities
- Claims processing for manually submitted claims, including all associated tasks and benefit eligibility verification and determining the appropriate of such claims.
- Client setup and implementation for new groups and/or new products and services. Includes client coordination, internal setup and carriers.
- Processing, entering and synchronizing participant enrollments.
- Updating contributions to CDH accounts to ensure proper funding.
- Acquiring additional claims substantiation and related tasks such as claim identification, member communication and closing of said claims.
- Update and maintain member information across all systems and databases.
- Reporting for internal and external users.
- Such other duties or tasks to assist the department of organization as the supervisor may deem necessary.
Skills
- Customer Service
- Active Listening
- Adapting to Change
- Telephone Etiquette
- Follow-up
- CRM
- Basic Software Skills
Qualifications
- Years of experience: 3 years
- Experience level: Experienced
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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
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