TEMP BPO Senior Associate
NTT DATA Services•Decatur, IL
•Remote
About The Position
The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible for registering, processing, and adjudicating claims accurately and efficiently.
Requirements
- Must have TPA experience
- Must have Dental and Commercial Claims experience
- High School Education required.
- Minimum of one to three years of experience working with the public.
- Ability to perform sedentary work for extended periods of time.
- Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.
- Ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.
Nice To Haves
- VBA Experience is preferred
- Previous insurance billing or customer service background recommended.
Responsibilities
- Process all claims for assigned group(s) within ten days of receipt.
- Complete forms for overspecific claims, including, but not limited to, printing EOBs, pulling claims and copying claims.
- Contact providers and case management company for information regarding problem claims.
- Print/mail EOBs and claim forms requested by providers and insured members.
- Assist with audits for assigned group.
- Assist with claims processing and overspecific for new or backlogged groups.
- Obtain needed information for subrogation claims and to determine pre-existing conditions.
- Perform other duties as assigned.
Benefits
- Long Term Temporary to Direct Hire
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
