Employer Industry: Insurance Services

Why consider this job opportunity:
- Opportunity to work with a leading provider in business process outsourcing for the insurance industry
- Supportive company culture that promotes respect, integrity, learning, and initiative
- Chance to provide excellent customer service to both internal and external customers
- Opportunity for career advancement and growth within the organization
- Engage in a role that emphasizes compliance and quality standards

What to Expect (Job Responsibilities):
- Review internal databases, client guidelines, and policy contract language to evaluate routine home and facility-based claims
- Communicate effectively with claimants, representatives, third parties, physicians, and other healthcare providers
- Obtain licensure information, proof of loss, and dates of service from service providers
- Maintain clear and concise documentation of all claim activity within required databases
- Uphold compliance principles as outlined in the Code of Conduct and participate in mandatory training initiatives

What is Required (Qualifications):
- Four-year college degree or equivalent formal training program
- Two years of experience in a medical, insurance, or risk management setting
- One year of work experience in claim processing
- Intermediate-level experience with Microsoft Office products
- Excellent verbal and written communication skills

How to Stand Out (Preferred Qualifications):
- Experience in a fast-paced insurance or healthcare environment
- Familiarity with HIPAA regulations and compliance standards
- Strong organizational skills and ability to prioritize workload

#InsuranceServices #ClaimsProcessing #CustomerService #CareerGrowth #Compliance

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