Claims Processor

Cynet Systems • Mason, OH

21h

About The Position

This role involves efficiently and accurately processing standard claims or adjustments, consistently achieving key internal metrics for production, cycle time, and quality. The Claims Processor will also participate in non-complex special claims projects and initiatives, including network efforts. A key aspect of the role is understanding and quickly operationalizing processing changes resulting from new plans and benefit designs. The position requires working collaboratively with supervisors and co-workers to provide strong customer service and communication with key customer interfaces. The Claims Processor must consistently meet or exceed agreed-upon performance standards in both productivity and accuracy and proactively work with their supervisor to develop self-remediation plans when standards are not being met.

Requirements

• Data entry and claims processing knowledge.
• Working knowledge of interface systems including claims systems, Metastorm, Exclaim, and EyeNet.
• Basic working knowledge of software programs, specifically Excel and Access.
• Understanding of third-party benefits and administration.
• Strong customer service focus.
• Ability to work well under pressure and multi-task.
• Knowledge of PCs and spreadsheet applications.
• Data Entry Test Scores must be included on resumes.

Responsibilities

• Efficiently and accurately processes standard claims or adjustments.
• Consistently achieves key internals with respect to production, cycle time, and quality.
• Participates on non-complex special claims projects initiatives, including network efforts.
• Understands and quickly operationalizes processing changes resulting from new plans and benefit designs.
• Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces.
• Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy.
• Proactively works with supervisor to develop self-remediation plans when standards are not being met.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed