Claims Assistant

DaviesPeachtree Corners, GA
5d

About The Position

Davies is seeking a Claims Assistant candidate that is comfortable working collaboratively as well as independently to provide data analysis and system processing to supports the Excess Claims Management unit. The candidate will handle medical claims data within the Excess Claims and ultimately will be responsible to manipulate claims data into a formatted structure, and import into our proprietary claims system. The candidate will also process claim system functionality to produce output for the claims review. The Claims Assistant will analyze data received from multiple clients and prepare submissions to be reviewed by other members of the unit. The focus of daily activities is data receipt & analysis, and processing data files through the claims system. The focus of daily activities is to exam data files, acknowledge receipt, identify and inventory claims by client, utilize formatting instructions to prepare claims for processing, communicate with supervisor or colleagues regarding any data discrepancies, maintain productivity and quality benchmarks, and direct inquiries to the appropriate colleagues or clients.

Requirements

  • Excellent attention to detail
  • Easily communicates questions or ideas without hesitation
  • Essential strong organizational skills
  • Excels at taking notes and creating instructions during phases of training
  • Knowledge of Intermediate level of MS Excel
  • Comfortable working solo or collaborating with clients, intermediaries, and peers to validate the work of others.
  • Must have US work rights & must reside in the U.S.
  • Ability to work well independently & collaboratively in a fast-paced environment
  • Excellent written, verbal, and analytical skills, Microsoft Office/Word/Excel and attention to detail is essential
  • High school diploma or equivalent

Nice To Haves

  • Familiarity with medical insurance, coding or billing, a plus.

Responsibilities

  • Accountable for delivering data files for processing into the claims system and producing output for claims review.
  • Maintain acceptable turnaround of data files and claim formatting activities to ensure output is available for claim review in a timely manner.
  • Collaboratively work with clients and colleagues to provide support.

Benefits

  • Medical PPO
  • Dental Plan
  • Vision Plan
  • Life Insurance Plan
  • Short Term Disability Plan
  • Long Term Disability Plan
  • 401k Employer Matching
  • Paid Time Off
  • Paid Holidays
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