OSS Coordinator

Sedgwick•Telecommuter TN, TN

About The Position

The OSS Coordinator supports and maintains the claims management system for a local office or multiple office locations and ensures security access complies with established policies within the assigned group. The position handles claims-related updates, payment and expense requests, system access administration, auditing support, and telephone assistance to end-users. It also supports the organization's quality programs and performs other duties as assigned.

Requirements

High school diploma or GED.
Two years of claims management or insurance experience, or an equivalent combination of education and experience.
Excellent oral and written communication skills, including presentation skills.
PC literacy, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Good interpersonal skills.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.
Credit security clearance, confirmed via a background credit check.

Nice To Haves

Associate degree.

Responsibilities

Complete examiner update reports, claim adjustments, provider requests, and operational expense check requests.
Queue claims for Managed Care, transfer payment allocations, and run manual pre-pay and balances as requested.
Create and maintain internal and external logins and applicable security access for claims management systems by reviewing incoming requests for validity and policy compliance.
Coordinate with the internal audit group to ensure security access is defined and implemented according to established policies and procedures.
Communicate and collaborate with internal departments to support end-user security needs.
Research and gather data for auditing, special projects, or returned checks.
Provide telephone support to end-users.
Perform other duties as assigned and support the organization's quality program(s).