Voluntary Benefits Claims Examiner
Full time @Accenture posted 7 hours ago in Customer Service & Support Shortlist Email JobJob Detail
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Job ID 17831
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Experience Less Than 1 Year
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Qualifications Degree Bachelor
Job Description
“Key Responsibilities:
Document all claim information including phone calls and correspondence.
Utilize effective communication to obtain information both verbally and in writing and provide information to the claimant and employer.
Ability to read multiple pages of medical records to confirm benefits available to the member.
Ability to apply plan provisions understand the needs of the clients.
Expected to adhere to client Service Level Agreements and department s product s key performance requirements and any reporting.
Able to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills.
Willing to support special internal functional projects and ad hoc requests as required.
Able to work cohesively with Subject Matter experts to support the day to day tasks, able to anticipate, identify, and resolve complex issues problems.
Able to communicate risks issues to supervisor and help with the resolution, as needed.
Provide exceptional customer service either over the phone or through email.
Able to provide leadership updates progress reports on training curriculum.
Utilize tools independently and accurately to identify work to be completed.
Professional and detailed verbal skills for outbound calls to obtain medical records or claim details to gather data to work claim to completion.
Basic Qualifications:
Minimum of 6 months experience in Medical Insurance Claims Processing
Minimum of 1 year experience in a contact center/call center.
Preferred Qualifications:
Group Life/Disability/ Voluntary Claims experience
Bachelor s Degree
NY Adjustor License
Strong mathematical skills
Professional Skills:
Proficiency in Windows environment, including Word and Excel
Medical terminology knowledge
Strong written and verbal communications required
Detailed oriented with strong time management skills
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