Specialist Claims Processor
23 hours ago
Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own We have a flexible work environment and fluid career paths We not only encourage but celebrate internal mobility We also recognize the importance of purpose well-being and work-life balance Within Empower and our communities we work hard to create a welcoming and inclusive environment and our associates dedicate thousands of hours to volunteering for causes that matter most to them Chart your own path and grow your career while helping more customers achieve financial freedom Empower Yourself Reporting to a Team Performance Leader the Claims Processor is responsible for reviewing and entering health and dental benefit claim forms and receipts that have been submitted by our plan members What you will do This position is responsible for data entering all of the Medical Dental Hospital Drug and Visions claims that are received each day for the Group Benefit Payment Offices and is performed independently Modification of or deviation from procedures and practices is occasionally required In this position the entire claim submission must be reviewed quickly along with all attachments to enter information into an average between 75-150 fields per claim submission The information must be entered extremely accurately and efficiently as there are very aggressive quality requirements and productivity target that must be obtained to meet the minimum requirements of the role For a high percentage of claims the Claim Processor will be the only person to see the claim submission If the claim does not automate in the system a Claims Examiner will use only the information the Claim Processor data entered onto the data entry system for final review adjudication payment of the claim If errors are made in keying or by not following interpreting the guideline information provided the claims could be paid incorrectly resulting in overpayment or underpayment to the customers As a result of services provided or actions taken this could would have a considerable impact on external client relations and the company 80 Data entry 20 misc other duties Work independently to data enter a variety of health dental drug hospital and vision claims Review claim attachments and determine which data from this information is applicable Review complex claims with your team assistant and flag claims requiring further investigation Adhere to the changing requirements of our Health Dental Claims policy job aids What you will bring Excellent keyboarding skills Good reading comprehension Basic PC computer Microsoft Office skills A minimum of 1 year of cumulative work experience College Degree is an Asset Ability to excel within a Purpose Vision driven environment More than 6 months and up to and including one year experience required This job description is not intended to be an exhaustive list of all duties responsibilities and qualifications of the job The employer has the right to revise this job description at any time You will be evaluated in part based on your performance of the responsibilities and or tasks listed in this job description You may be required perform other duties that are not included on this job description The job description is not a contract for employment and either you or the employer may terminate employment at any time for any reason as per terms and conditions of your employment contract We are an equal opportunity employer with a commitment to diversity All individuals regardless of personal characteristics are encouraged to apply All qualified applicants will receive consideration for employment without regard to age race color national origin ancestry sex sexual orientation gender gender identity gender expression marital status pregnancy religion physical or mental disability military or veteran status genetic information or any other status protected by applicable state or local law
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