Payment Protection Processor l

SWBC•San Antonio, TX

About The Position

SWBC is seeking a Payment Protection Processor I to determine coverage and establish and process Payment Protection claims, create claim payments, and support Claims Examiners. The role involves answering claimants’ questions and discussing concerns throughout the claims process while working with a supportive team. The position receives new and continuing claims, determines coverage, sets claims up in systems, and prepares and distributes claim files to Examiners. It also creates claim payments, records claim notes, maintains and balances carrier transaction reports, handles calls from claimants, financial institutions, and carriers, and requests missing information. Additional duties include creating and updating template letters, testing ACH claim-payment account setups and system updates, and training new Payment Protection Processor I employees as needed.

Requirements

High school diploma or equivalent.
At least two years of analytical-type general office or related experience.
Strong analytical, organizational, and detail-oriented skills.
Excellent verbal and written communication skills for interacting with internal and external contacts and customers.
Ability to use basic office equipment.
Working knowledge of Microsoft Word and Excel.
Ability to type 40 WPM accurately and use 10-key by touch.
Ability to move up to 20 pounds of files and documents.
Ability to bend, stoop, and stand to perform filing duties.

Nice To Haves

Some college coursework in medical terminology or a related field.

Responsibilities

Receive new and continuing claims, determine Payment Protection coverage, establish claims in the systems, and prepare and distribute claim files to Examiners.
Create claim payments in the system and enter claim notes.
Maintain and balance carrier transaction reports to ensure accurate payment issuance.
Answer incoming calls from claimants, financial institutions, and carriers, and document interactions in claim files and the claims system.
Request missing information from claimants and financial institutions to establish new claims.
Create new template letters and update existing letters.
Test new account setups for ACH claim payments and updates to live system environments.
Train new Payment Protection Processor I employees as needed.