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 includes answering claimants’ questions and discussing concerns with them during the claims process, while working with a supportive team. The processor receives new and continuing claims, determines coverage, enters claims into company systems, and prepares and distributes claim files to Examiners. The role also creates claim payments, records claim notes, maintains and balances carrier transaction reports, handles incoming calls from claimants, financial institutions, and carriers, and requests information needed to establish claims. Additional duties include creating and updating template letters, testing ACH claim payment account setups or live-system updates, and training new Payment Protection Processor I employees as needed. The position requires a high school diploma or equivalent and at least two years of analytical-type general office or related experience. Preferred qualifications include some college coursework in medical terminology or a related field. Candidates should have strong analytical, organizational, and communication skills, working knowledge of Microsoft Word and Excel, accurate typing at 40 WPM, and the ability to use 10-key by touch. Physical duties include moving files and documents weighing up to 20 pounds and bending, stooping, and standing to perform filing duties.

Requirements

High school diploma or equivalency.
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 accurately at 40 WPM and use 10-key by touch.
Ability to move files and documents weighing up to 20 pounds.
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, enter claims into systems, and prepare and distribute claim files to Examiners.
Create claim payments and enter claim notes in the systems.
Maintain and balance carrier transaction reports to ensure payment issuance accuracy.
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 the ACH claim payment process and updates to live system environments.
Train new Payment Protection Processor I employees as needed.