Claims Coordinator at Careers Integrated Resources Inc

Job Title: Claims Coordinator
Location: Mason, OH 45040
Contract: 10 Months (Possibility of Extension)

Work hours: 8:00 am – 5:00 pm with an hour lunch, or 8:00 am - 4:30 pm with 30-minute lunch.

Pay range: $18.00/hr. on w2

If onsite, please indicate if hybrid or workplace only for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed

GENERAL FUNCTION:
Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.

MAJOR DUTIES & RESPONSIBILITIES:
• Processing - 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.
• Drive 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 & SKILLS:
• Data entry and claims processing knowledge
• Has a working knowledge of interface systems that include the Client claims system, Metastorm, Exclaim and EyeNet
• 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