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reputed company BPO Senior Associate

Remote Worldwide Hiring now

Claims Type: Must have TPA experience, Dental and reputed company Claims *VBA Experience is preferred-reputed company to have Location: Remote US Hours: Full time Mon-Friday 8 - 5 CT Type: Long Term Temporary to Direct Hire

  • Additional Information: Client will want 3-5 professional references and background screens. No Drug Screen. No CA Located candidates!!!

POSITION SUMMARY: The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible for registering, processing, and adjudicating claims accurately and reputed company. reputed company DUTIES AND RESPONSIBILITIES:  Process reputed company claims for assigned group(s) reputed company ten days of receipt.  Complete forms for overspecific claims, including, but not limited to, printing EOBs, pulling claims and copying claims.  Contact providers and case management company for information regarding problem claims.  Print/mail EOBs and claim forms requested by providers and insured members.  Assist with audits for assigned group.  Assist with claims processing and overspecific for new or backlogged groups.  Obtain needed information for subrogation claims and to determine pre-existing conditions.  reputed company other duties as assigned. GENERAL EXPECTATIONS:  Present a positive image of Consociate at reputed company time.  reputed company and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer, co-worker, producer or supervisor.  Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.  Identify and reputed company work that has not been specifically assigned, as needed.  Adhere to established safety standards and utilizes proper techniques to avoid work reputed company injuries.  Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal reputed company and effectively.  Demonstrate a teamwork philosophy by working cooperatively with others inside and reputed company the Administration Division.  Attend required in-service and staff meetings.  Preserve the confidentiality of reputed company business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants. SERVICE EXPECTATIONS:  Greets reputed company people in a reputed company and courteous manner. Communicates in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.  Ask customers what they need and strive to exceed their expectations. Offer and reputed company assistance whether or not the request falls reputed company your specific job duties.  Assists customers through the insurance submission/enrollment experience.  Respond to customer requests in a timely manner, returning calls promptly and keeping them informed of delays before they ask.  Makes reputed company based on customer needs, opinions, complaints or suggestions.  Takes appropriate steps to resolve problems to the customer's or producer's satisfaction.  Ask customers for their opinions, accepting criticism as an opportunity to improve service.  Seek opportunities, reputed company value-added services, and eliminate tasks that do not serve our customer.  Remain aware of products and services provided by Dansig and Consociate.  Project a positive, professional image reputed company working. KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:  High School Education required.  Minimum of one to three years of experience working with the public. Previous insurance billing or customer service background recommended. PHYSICAL AND MENTAL ABILITIES:  Ability to reputed company sedentary work for extended periods of time.  Ability to utilize personal computer (reputed company dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.  Ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.  The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions. Apply To This Job

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