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viva

Claims Processor

Entry-Level JobVerifiedNo experience needed

Job Description

HYBRID - 2-3x in Mason 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 Client Account Managers, Operations, Information Systems, Client Representatives and the client 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 client claims system, Metastorm, Exclaim and client platform 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
Notes:
HYBRID - 2-3x in office.
Hours:
M-F/Full-Time; 8-4:30 (30-Minute lunch) This is a contract role with the possibility of conversion to full-time based on business needs and performance Must have adequate WFH space and follow all client remote protocols. VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

Benefits

  • Dental Insurance

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What they do

A Claims Processor reviews and processes insurance claims and determines whether an insurance policy will cover a claim. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a claim is approved.

$41,554 / year median in Ohio

-8% projected decline

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