Highlights
The Claims Processor will be responsible for cataloguing incoming electronic documents for the claims department, preparing and sending daily, weekly, monthly claims reports, as well as other duties as needed. Accentuate Staffing is currently recruiting for a hybrid Claims processor to join an established commercial insurance company in Raleigh.
Numbers & Facts
| Location | Raleigh, NC |
| Job Type | Full-time |
| Industry | Staffing/Employment Agencies |
| Salary | $20 Per Hour |
| Year Founded | 1996 |
| Website | https://www.accentuatestaffing.com/ |
Description
Accentuate Staffing is currently recruiting for a hybrid Claims processor to join an established commercial insurance company in Raleigh. This role will be hybrid (2 days from home ). The Claims Processor will be responsible for cataloguing incoming electronic documents for the claims department, preparing and sending daily, weekly, monthly claims reports, as well as other duties as needed. This role will also assist with claims inbound calls with the goal of providing an exceptional customer experience.
Job Responsibilities
Adhere to the Claims Support schedule to ensure call service levels are met, and customer satisfaction remains high.
Index documents accurately and consistently attain monthly goal.
Prepare reports and letters, completing and submitting them on time based on jurisdictional requirements.
Initiate offsite check printing and prepare EOB's daily.
Respond to inbound calls from both internal and external customers and handle appropriately in a timely manner.
Process unidentified mail, agent mailings, and underwriting return envelopes to proper resolution.
Investigate provider inquiries regarding bills and payments, providing EOBs as requested.
Report any challenges, defects with workflows to Claims Support Supervisor
Demonstrate proficiency with ImageRight, 8x8 and Advanced Claims.
Issue payments for claims file expenses as directed.
Process Entity Entry (I-9) to ensure compliance.
Photocopying claim files, cataloguing medical records and electronic claim file data including EDI and other similar items.
Perform data entry functions as directed by Adjusters and Claim Services Manager
Qualifications
High school diploma or equivalent
At least 2 years of customer service/support experience and/or two years of commercial insurance and/or claims experience or an equivalent combination of education and experience.
PC Computer skills (MS Office, Outlook); knowledge of policy processing systems, imaging systems and/or CRM systems is a plus.
Excellent customer relationship management skills required.
Ability to learn quickly and adapt to changing environment.
Solid customer focus and soft skills
Benefits
Medical, Dental, Vision
About Company
Since 1996, Accentuate Staffing has delivered “The Power of Positive” to you. As one of the Triangle’s largest woman-owned companies, Accentuate Staffing sources candidates in the career specialties of Accounting/Finance, Office Professional, Information Technology, Scientific/Clinical, Light Industrial and R&D Consulting services. The current roster of more than 250 corporate clients is diverse, highly regarded, and often exclusive. Accentuate Staffing’s honors include nine Triangle Business Journal Fast 50 awards, four Raleigh Chamber Pinnacle Awards, No. 222 on the INC 500 list and an inaugural winner of the TBJ’s A Better World Award. Accentuate Staffing cherishes its position as a leader in the community, offering support to charitable institutions including Children’s Flight of Hope, National Students of AMF, the MS Society, the Shepard’s Table Soup Kitchen, and Stop Hunger Now among others. For detailed information on how “The Power of Positive” can impact your company or your career, please visit at www.accentuatestaffing.com.