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Claims Specialist

Pyramid Consulting, Inc Fort Washington Contractor
$20.00 - $25.00 / hour
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Immediate need for a talented Claims Specialist with experience in the Insurance Industry.
This is a 06+ Months contract opportunity with long-term potential and is located in Fort Washington, PA. Please review the job description below.
 
Job ID: 19-34914
 
Key Responsibilities and Technology Experience:
  • The Claims Specialist sets adequate reserves to ensure proper reporting.
  • Compares data on claim form with insurance plan to ascertain completeness and validity of the claim.
  • Examines claim form and other records to determine insurance coverage.
  • Proactively works to resolve claim as expeditiously as possible.
  • Reviews and analyze detailed medical records.
  • Calculates reimbursement of benefits according to the schedule of coverage. Runs various claim reports as directed by the account.
  • Liaison with Marketing/Customer Service departments.
  • Incrementally increase productivity without jeopardizing quality.
  • Approves claims at the appropriately demonstrated assigned authority level.
  • Functions as a resource for examiners and assist with training new examiners and customer service representative.
  • Handles difficult phone calls and composes special correspondence.
  • You Bring Knowledge and Expertise.
  • 1 – 3 years CLAIMS ADJUDICATION experience.
  • Writes clearly, concisely and effectively.
  • Communicates verbally effectively and with impact.
  • Ability to multi-task and mange time effectively.
  • High School or GED required. College preferred, or equivalent work experience.
Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. 

#PROF
 

Recommended skills

Scheduling
Claims
Insurance
Customer Service
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Job ID: 19-34911

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