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T
TEKsystems
Insurance Specialist
Entry-Level JobVerifiedNo experience needed
Career Insights for Claims Representative
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Scorecard
Based on Iowa data
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What they do
A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.
$52,138 / year median in Iowa
+1% projected growth
Job Description
Description This will be a project based role wth start of 90 day need with the intent to extend through the end of the year, if needed. Strong customer service skills and a keen attention to detail are important to have. This role will be a collections type role - will communicate with insurance companies to collect payment and file claims. Most communication will be with claims adjusters from insurance companies. Most communication takes place through email with phone outreach, if email communication doesn't resolve inquiries.
Daily Duties:
+ Review orders to ensure accuracy of codes, quantity, and pricing + Follow-up with insurance company to obtain payment from services rendered + Denial resolution may include requesting additional documentation from payer via phone/email/fax, resubmission, filling a corrected claim, using payer portals for claim research and claim processing functions, claim adjustment if there is no opportunity for resolution/payment + Prepare and submit documentation to increase likelihood of claims payment + Answer questions from providers, patients, and insurance companies + Knowledge of contract specific billing and paying procedures + Identifies and resolves collection issues + Performs necessary adjustments and refund requests + Print, organize, and mail hard copy claims + Claim follow up in accordance with department protocols + Continued efficiency in various software platforms such as Viper and Microsoft applications (Teams, Outlook, Word, Excel, etc.)Skills & Qualification:
High School diploma/GED Strong customer service skills - phone and email (office experience required) Strong attention to detail Must have Microsoft Office Suite experience (Outlook, Excel, SharePoint) in an office setting Job Type & Location This is a Contract position based out of Waterloo, IA. Pay and Benefits The pay range for this position is $17.00 - $19.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Waterloo,IA.