Claims Coordinator

Corewell Health•Fort Wayne, IN

1d•Onsite

About The Position

The Claims Coordinator must be competent in all functions of a Claim Coordinator, Associate, and Coordinator, Claims, in addition to more complex claim and issue resolution. Examples of complex claims may include: secondary claim coordination; customer inquiries; claims adjustments. This position is production and quality based and the Coordinator will be expected to achieve monthly measures.

Requirements

High School Diploma or equivalent
2 years of relevant experience in related field

Nice To Haves

Associate's Degree or equivalent
2 years of relevant experience
Working knowledge of claim payment process and interdependence with other departments.
2 years of relevant experience working in an environment requiring production and quality minimums

Responsibilities

Process claims through on-line adjudication. May include HMO, ASO, PPO, LFO POS, or GP.
Processing will include complex claims such as secondary claim coordination, customer inquiries, claim adjustments and complex issue resolution.
Utilize Lens Inquiry Tracking system to initiate and resolve claim related issues.
Detailed knowledge of operational/technical functions and software.
Ability to perform tasks in a high stress environment.
Ability to complete multiple tasks in a timely manner.
Ability to meet minimum production and quality standards.
Ongoing oral and written communication within teams.
Assist in special projects as assigned.

Benefits

Comprehensive benefits package to meet your financial, health, and work/life balance goals.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings

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