Insurance Claims Processor

  • location: Pittsburgh, PA
  • type: Temporary
  • salary: $15.91 per hour
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job description

Insurance Claims Processor

We currently have an opportunity for a large healthcare services provider located in Robinson Township area. This is a rapidly growing industry and they urgently need a qualified Group Claims representatives to help the business continue to grow! This position is an opportunity for you learn and establish yourself in a fast paced, high volume, growth environment. Please take a look at the qualifications below and if interested please contact me immediately at Hailey.chelton@randstadusa.com

Responsibilities:
Helps our customers maintain their health, well-being, and sense of security by managing an assigned caseload of disability claims under guidance. Evaluates customer eligibility based on contractual, state, and federal guidelines; communicates decisions in writing, calculates, and issues benefit payments. Follows-up on and reviews Social Security decisions and other income benefits. Helps customers through difficult times by following-up on their medical progression and discussing return to work options

Working hours: 8:00 AM - 5:00 PM

Skills:
Exceptional customer service standards and delivery
Strong oral and written communication skills
Ability to prioritize and multi-task
Ability to thrive in a fast-paced environment and meet deadlines
Strong math and calculation skills
Excellent interpersonal, organizational, negotiation, investigative, analytical and research skills
Conflict resolution skills
Critical attention to detail
Team oriented
Proficient in Microsoft Office
Multilingual skills are highly desired

Education:
High School

Experience:
Entry Level

Qualifications:
Ability to handle potentially high levels of call volume from customers and clients
Exhibits claim management performance according to quality and compliance standards
Manages both new claims and open claims equally and maintains decision times
Adheres to standard timeframes for processing mail, tasks and outliers
Supports and promotes all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.)

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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