Claims Specialist

Position Code: 3003

Department:  Claims Administration
Location: Columbus, Ohio
Immediate Supervisor:  Deborah Stewart
Status: Non-Exempt
Posted: January 04 2017

Essential Functions of Job:

• Processing and evaluating medical and dental claims • Obtaining information by telephone as well as by hard copy and entering into the computer systems • Prioritization of individual work flow associated with the case assignments • Establishing and maintaining professional rapport with clients and providers (physicians and hospitals) • Maintaining and assuring accuracy of documentation • Discuss with members, clients and providers the issues relating to claim administration • Ability to report to the office

Qualifications:

• High school diploma or equivalent • Effective organizational and prioritization skills • Excellent oral and written communication skills • Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced multi-tasking environment • Strong interpersonal skills with ability to function as a positive team member • Superior skills in benefits interpretation • Strong mathematical background • 2-3 years experience in processing medical, dental and/or vision claims preferred

 

The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.

Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.