Claims Technician

PGBA•Florence, SC

2d•Onsite

About The Position

The Claims Technician performs routine but varied clerical duties according to standard procedures and department policies. The role supports claims processing by receiving and distributing mail and work requests, reviewing and preparing documents, scanning and indexing records, verifying information, and maintaining departmental logs and databases. The technician also resolves routine problems and helps ensure that paper claims and correspondence are processed accurately, in accordance with department standards, contract regulations, policies, and guidelines, and in a timely manner. The position is full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m., in a typical office environment at the Florence, South Carolina location. It is not eligible for current or future sponsorship.

Requirements

High school diploma or equivalent.
Strong organizational and analytical skills.
Good communication and organizational skills.
Attention to detail.
Ability to handle confidential or sensitive information with discretion.

Nice To Haves

Ability to accurately key 5,000 keystrokes per hour or type 30 words per minute.
Knowledge of word-processing and spreadsheet applications.

Responsibilities

Receive, open, sort, and distribute incoming departmental mail and work requests.
Check workflow documents for required information and request missing documentation as needed.
Scan documents for storage in the electronic repository.
Prepare correspondence and packages for internal or external mailing.
Screen and verify information.
Ensure accurate processing of paper claims and correspondence in accordance with department quality and production standards, contract regulations, policies, and guidelines.
Conduct data element verification for elements that fail the mapping process before claims adjudication.
Apply appropriate indexes to claims and correspondence as needed.
Maintain departmental logs, spreadsheets, or databases.
Use available reference materials when performing daily duties.
Track supply inventory and order supplies as needed.