Claims Specialist

GENERAL FUNCTION

Accurately and efficiently processes client self-bill files and/or incoming payments to customer invoices/accounts in appropriate systems. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. This position requires team interaction as well as the ability to work independently.

MAJOR DUTIES AND RESPONSIBILITIES

• Accurately and timely processes simple to complex incoming payments to customer invoices/accounts


• Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed


• Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc.


• Consistently meets or exceeds agreed upon business objectives in productivity, accuracy and cycle time. Proactively works with manager to develop a self-remediation plan when standards are not being met.


• Works with manager to provide strong customer service and communication with internal and external clients.


• Communicates with manager, team members, and clients regarding issues in a timely manner and escalates as necessary to management.


• Runs assigned queries and reports weekly / monthly

BASIC QUALIFICATIONS

• High School diploma


• 3+ years of experience in cash application or insurance related processes


• SAP knowledge and experience


• High level knowledge of MS Excel


• Ability to quickly grasp and retain information and concepts


• Minimum keystroke per hour requirement of 10,000 alpha and numeric with less than 2% error rate


• Strong customer service and communication skills, both oral and written


• High level of detail orientation, ability to work well under pressure and multi-task/ prioritize issues


• Flexibility working in both a team and individual environments

PREFERRED QUALIFICATIONS

• Previous AS400 knowledge and experience


• Detailed working knowledge of basic computer operations and systems, i.e.: Web-based search engines, Windows, and Microsoft Office products


• Prior experience/knowledge of vision benefits and/or insurance industry