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Claims Representative
Location:
Webster, NY
Description:
Claims Representative - Account Services Department: Claims Department FLSA Status: Non-Exempt Employment Status: Full-Time; Monday-Friday 8:30-5:00 Salary: Based upon experience Join a team worth working for! Bene-Care, Inc. is a local premier Human Capital Management organization that helps clients confidently select, successfully manage, and seamlessly integrate employee benefits , payroll services , insurance and strategic HR Solutions , while ensuring the highest level of regulatory compliance and customer service. Don't know what makes the Human Capital Management industry special? Well, chances are you interact with an HCM system every day! When you apply for a job, get paid by your employer, go see a doctor, need a tooth pulled or take an on-line training course you are engaging with a Human Capital Management organization!Next, we combine an exciting industry with a winning culture. Our 70+ employees are high-performing, collaborative, out-of-the-box thinkers who break through obstacles and embody an "anything is possible!" mindset. We love it here. Our work is challenging, fast paced and REWARDING!Now you understand why since 1972, our company has been one of the fastest growing, and quite honestly, the most unique in our industry! And we're not done yet... In order to continue our uniqueness and status with the HCM world, we need people like YOU to join our team! Are you up for the opportunity? If so, we are seeking an Claims Representative who will ultimately be accountable for helping us grow and retain one of our most value assets (besides YOU), our clients! Claims Representative Essential Duties and Responsibilities: Examine, process, calculate, and pay insurance claims to Bene-Care TPA clients and their employees Provide customer service to claimants, providers, and clients regarding their claims and/or policies for reimbursement Process employee adds and terms within DataPath 125 and 105 system Key HRA and FSA claim data Substantiate debit card swipes Premium Only Plan (POP) setup and renewal processing COBRA notice preparation and distribution Strictly comply with federal and state regulatory laws, policies, and company procedures Performs other work-related duties as assigned Minimum Qualifications (Knowledge, Skills and Abilities): Associates degree or equivalent training Familiarity with health care benefits and/or insurance terminology Working knowledge of Microsoft Office applications; Word, Excel, Outlook Proficient basic mathematical skills and comfort working with percentage calculations Ability to work in a fast-paced environment with a fluctuating workload Willingness and desire to learn Strong attention to detail Excellent communication skills; both written and verbal Ability to work effectively within a team and independently Preferred Qualifications: 6 - 12 months of related experience Ability to read and understand medical terminology and insurance claims as well as interpret documents such as medical bills and EOB's (Explanation of Benefits) Physical Demands and Work Conditions: The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations. While performing the duties of this position, the employee is frequently required to sit, walk, bend, use hands (i.e.: type, write), talk, and hear. The employee is occasionally required to stand and walk. Employee may occasionally be required to lift and/or move up to 25 pounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. _____________________________________________________________________________ Nothing in this document should be interpreted as an offer of employment and all employment with Bene-Care and its affiliates is at-will. Reasonable accommodations will be made as determined by the interactive process upon request and job duties may be adjusted as needed to ensure that any current or potential employee be successful at Bene-Care. Bene-Care and its affiliates are Equal Opportunity Employers.
Company:
Bene-Care
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Claims Representative
Claims Representative is a Insurance Jobs Claims Handler Job at Bene-Care located in Webster NY. Find other listings like Claims Representative by searching Oodle for Insurance Jobs Claims Handler Jobs.
Claims Representative is a Insurance Jobs Claims Handler Job at Bene-Care located in Webster NY. Find other listings like Claims Representative by searching Oodle for Insurance Jobs Claims Handler Jobs.