SWBC is seeking a talented individual to determine coverage and establish/process Payment Protection claims, create claim payments, and provide support to Claims Examiners.
Why you'll love this role:
In this role, you will be able to help people in their time of need by answering questions and discussing concerns with the claimants during their claims process. You will also get to work with a team that is willing to help no matter how busy they are.
Essential duties include the following:
- Receives new and continuing claims submitted, determines coverage under Payment Protection, sets them up in the systems, and prepares/disburses the claim files to the Examiners.
- Creates claim payments in the system, enters claim notes in the systems, maintains carrier transaction reports, and balances such for each carrier to ensure accuracy with the issuance of payments.
- Takes incoming phone calls to assists claimants, financial institutions, and carriers to include documenting such within claim files and in the claims system.
- Requests missing information to establish new claims from the claimants and financial institutions.
- Creates new template letters and makes changes to existing.
- Tests new account setups for ACH claim payment process and/or updates to live systems environments.
- Trains new Payment Protection Processor I as needed.
Serious candidates will possess the minimum qualifications:
- High School Diploma or equivalency.
- Some college course work in medical terminology or related field preferred.
- At least two (2) year analytical type general office or related experience.
- Strong analytical, organizational, and detail-oriented skills.
- Excellent verbal and written communication skills to interact with internal/external contacts and customers.
- Able to use basic office equipment and have excellent organizational and communication skills.
- Working knowledge of Microsoft Word and Excel.
- Strong analytical, organizational, and detail-oriented skills.
- Able to type 40 WPM accurately and know 10 key by touch.
- Able to move up to 20 lbs. of files and documents.
- Able to bend, stoop, and stand to perform filing duties.
SWBC offers*:
- Competitive overall compensation package
- Work/Life balance
- Employee engagement activities and recognition awards
- Years of Service awards
- Career enhancement and growth opportunities
- Leadership Academy and Mentor Program
- Continuing education and career certifications
- Variety of healthcare coverage options
- Traditional and Roth 401(k) retirement plans
- Lucrative Wellness Program
*Based upon employee eligibility
Additional Information:
SWBC is a Substance-Free Workplace and requires pre-employment drug testing.
Please note, SWBC does not hire tobacco users as allowed by law.
To learn more about SWBC, visit our website at www.SWBC.com. If interested, please click the appropriate apply button.
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