Claims Processor I Position Available In Wake, North Carolina
Tallo's Job Summary: Claims Processor I position at Diversity Nexus in Morrisville, NC, involves accurately processing standard claims and adjustments, meeting production goals, and driving client satisfaction through strong communication. Requires 0-1 years of claims processing experience, basic software knowledge, and a high school diploma. This is a 2+ month contract with potential extension.
Job Description
Claims Processor I Diversity Nexus Morrisville, NC 27560 • Hybrid work
Job Title:
Claims Processor Location:
MASON OH
45040-
Hybrid Contract :
2+ Months contract with 100% extension
Note :
Location- Remote or Onsite:
3 DAYS
A WEEK IN OFFICE GENERAL FUNCTION
Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES
Processing – Efficiently and accurately processes standard claims or adjustments Consistently achieves key internals with respect to production, cycle time, and quality May participate on non-complex special claims projects initiatives, including network efforts Understands and quickly operationalizes processing changes resulting from new plans, benefit designs. Drive client satisfaction – Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team Drives Key Performance Indications – Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS
Data entry and claims processing knowledge Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm, Exclaim and EyeNet Some basic working knowledge of software programs, specifically Excel and Access Understands third party benefits and administration Strong customer service focus Ability to work well under pressure and multi-task
EXPERIENCE
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION
High school mandatory There will actually be 5 courses that required for all temporary employees: Best Regards, Subhash V Talent Acquisition Specialist subhash@diversitynexus.net 732-782-5488
Job Type:
Contract Schedule:
Day shift
Work Location:
Hybrid remote in Morrisville, NC 27560
