Russell Tobin · 3 hours ago
Claims Specialist
Russell Tobin's client, a specialty retail company, is hiring a Claims Processor. The role involves accurately and efficiently processing manual claims and participating in non-complex claims projects while maintaining strong customer service and performance standards.
Responsibilities
Efficiently and accurately processes standard claims or adjustments
Consistently achieves key internals with respect to production, cycle time, and quality
May participate on non-complex special claims projects initiatives, including network efforts
Understands and quickly operationalizes processing changes resulting from new plans or benefit designs
Works with supervisor and co-workers to provide strong customer service and communication with key internal and external interfaces
Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
Proactively works with supervisor to develop self-remediation plans when standards are not being met
Qualification
Required
0-1 years of claims processing or data entry experience
High school diploma or equivalent is required
Data entry and claims processing knowledge
Working knowledge of claims processing systems and related workflow platforms
Basic working knowledge of software programs, specifically Microsoft Excel and Access
Understands third-party benefits and administration
Strong customer service focus
Ability to work well under pressure and multi-task
Benefits
Comprehensive healthcare coverage (medical, dental, and vision plans)
Supplemental coverage (accident insurance, critical illness insurance and hospital indemnity)
A 401(k)-retirement savings
Life & disability insurance
An employee assistance program
Identity theft protection
Legal support
Auto and home insurance
Pet insurance
Employee discounts with some preferred vendors
Company
Russell Tobin
Russell Tobin is a staffing and recruiting company that provides recruitment and staffing advisory services.