Lead Claims Specialist

Public Consulting GroupChula Vista, CA
Onsite

About The Position

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. Our Human Services team helps state and municipal human services and economic development agencies keep their promises—responsibly and sustainably—to the children, adults, and families they serve. Join us and use your professional skills to build stronger communities and better serve populations in need by making meaningful and lasting changes in government organizations. PCG is seeking highly motivated and dependable Lead Claim Specialist payment processing clerk with an interest in public service who can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The lead will be responsible for supporting with reports, internal QA reviews, supporting the claims specialists with questions, escalations and front desk support as needed. Accurately distributing child care payments to child care providers and working with CalWORKs families to access child care. This position will be responsible for managing, collecting, tracking, and reporting information for child care and additional supportive services in various software programs including KinderTrack and Calsaws.

Requirements

  • Proper etiquette including customer relation techniques, superior verbal and communications skills.
  • Excellent accuracy and attention to detail
  • Ability to prioritize work and meet deadlines.
  • Ability to recognize and maintain the confidentiality of all materials in the work setting.
  • Understanding of modern office methods and practices; efficient with computers.
  • Demonstrated ability to use various computer systems, preferably CalSAWS and KinderTrak, although not required.
  • Ability to establish and maintain professional relationships with community partners and providers.
  • Ability to partner with and motivate clients from a diverse range of backgrounds.
  • Ability to maintain a record keeping and follow-up system.
  • Ability to work independently, requiring minimal supervision and on multiple projects simultaneously.
  • Proficient with Microsoft Excel ad basic working knowledge of Access
  • High School Diploma required

Nice To Haves

  • Bachelor's Degree preferred.
  • Accounting experience or background a plus.

Responsibilities

  • Identify proper forms; obtain signatures on all required forms and documentation.
  • Establish and maintain good working relationships with partners including CalWORKs participants.
  • Support with uploading/downloading reports to/from County and PCG sites.
  • Provide monthly reporting statistics to supervisor for designated area of responsibility.
  • Enter manual provider timesheets and invoice information accurately.
  • Reconcile and troubleshoot timesheet and transaction reports.
  • Review issuances and records for audit purposes.
  • Monitor accuracy/timeliness of payment processing.
  • Support with training/coaching of staff.

Benefits

  • medical and dental care benefits
  • 401k
  • PTO
  • parental leave
  • bereavement leave

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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