• Job Description

  Req#: 97745

  Job Details

  Level: Entry

  Job Location: TRG HeadQuarters - La Grange, KY

  Position Type: Full Time

  Education Level: High School

  Salary Range: Undisclosed

  Travel Percentage: None

  Job Shift: Day

  Job Category: Insurance

  Job Summary

  The Claims Specialist uses established resources to gather data to complete missing member, group, and claim information. This information aids in the recovery process by providing our clients detailed, accurate reporting.

  Hours : Day shift, 40-hour work weeks, 8am - 5pm. Flexible schedule options available between 7am - 7pm after six months of employment.

  Setting : Professional office environment with a hybrid schedule after 6 months of employment.

  Compensation: This is a non-exempt position at a very competitive hourly rate. Our comprehensive benefit package includes health and dental benefits, short-term disability plans, 401k with company matching, paid vacation policy and more. We also offer an onsite gym, cafe, and coffee shop.

  Responsibilities

  • Access multiple systems to gather key data including partial information for a member, group, claim, any other documents as needed
  • Accurately resolve or reprocess claims to correct setup and/or systems errors identified
  • Work assigned reports to monitor and/or correct claims for processing by the assigned deadline

  Qualifications

  • High School Diploma, GED, or equivalent combination of education and experience in health insurance, legal, property and casualty or related fields is preferred
  • Word and Excel proficiency is required
  • Ability to navigate multiple electronic healthcare systems
  • Strong problem-solving skills with attention to detail for accuracy of reporting
  • Ability to prioritize work and perform under time constraints with minimal direct supervision

  Physical Requirements

  • Frequently remains in sitting position for long periods of time to perform duties
  • Frequently concentrates for long periods of time, paying close attention to detail
  • Frequently uses and views the computer using fingers, hands, and vision
  • Frequently works in a well-lit, tempered environment
  • Occasionally moves through office to communicate with other employees

  
  

  The Rawlings Group is looking for hard-working, talented people who share our commitment to excellence to join our company. The Rawlings Company has successfully provided cost containment services to the largest health insurers in the country for more than 40 years and continues to grow as an industry leader.

  Our Culture is focused on:

  • The guiding principle of doing the right thing
  • Caring for our employees and taking pride in the work they do
  • Providing recognition and financially rewarding employees for their success

  Our Values are:

  • Integrity and Trust
  • Customer Service Excellence
  • Innovation
  • Diversity and Inclusion
  • Honoring our Veterans and Their Service

  
  *Equal Employment Opportunity. It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification.
  *The Rawlings Group is an employment at will employer.

  #INDHP

• About the company

  The Rawlings Group has an unbeaten record of recovering more money for more health plans than any other vendor. Contact us today.

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