Combined Insurance ESIS Claims Analyst in United States

A. KEY OBJECTIVE: Under limited supervision, performs customer service and/or claims processing functions.

B. MAJOR DUTIES & RESPONSIBILITIES: Duties may include, but are not limited to:

  • Receive new claim, verify accuracy of information submitted.

  • Provide customer service to agents, insureds, clients and other customers.

  • Process medical only claims that are clearly work related and do not require investigation.

  • Process authorized payments.

  • Input data entry correspondence into computer system, and review files at appropriate intervals determined by Best Practices.

  • Complete required state forms.

  • Typing, photocopying, indexing and filing.

  • Maintain desk according to Best Practice Standards

    C. SCOPE INFORMATION: Reports to Medical Only Team Leader.

    D. DESIRED QUALIFICATIONS:

  • 5 years previous claims processing experience.

  • Strong customer service background.

  • Ability to operate and contribute positively in a team-based environment.

  • Good written and oral communication skills including effective telephone skills.

  • Ability to work independently under limited supervision.

  • Superior organizational skills and the ability to effectively manage multiple priorities.

  • Demonstrate initiative as evidenced by the ability to self-manage, organize and prioritize work.

  • Strong working knowledge of computer systems and various Microsoft applications such as Word, Excel and Outlook

  • Committed to high standards of behavior and performance.

Job: *Claims

Title: ESIS Claims Analyst

Location: null

Requisition ID: 318647