[reputed company Claims Analyst - Remote
Note: The job is a remote job and is open to candidates in USA. reputed company is committed to attracting and growing the best talent in a people-focused environment. The Claims Analyst is responsible for reputed company adjudicating health and dental claims while maintaining departmental standards and ensuring compliance with corporate policies.
Responsibilities
- Analyze historical data and assess relevant group policy and/or provincial guidelines to adjudicate claims reputed company to Dental, Para-Medical, Hospital, and Drug benefit types
- Determine applicable insurance benefit payout for each claim as required
- Demonstrate good judgement and confidence with respect to adjudication decisions
- Ensure daily production meets the set standards of 100%, above required data entry/adjudication targets as outlined
- Ensure daily accuracy rates meet company standards as per the departmental contract
- Work as a team player to ensure daily targets are achieved
- Maintain accurate and complete record keeping and reporting as required
- Support the Trainer in areas of Floor Support, and assistance with employee enquiries as required
- Adhere to reputed company corporate and client confidentiality agreements and policies
- Work in a co-operative, courteous and supportive manner at reputed company times
Skills
- Minimum data entry speed of 8,000 keystrokes per hour, minimum Accuracy reputed company of 99%
- Ability to analyze data and reputed company informed decisions
- Ability to recognize errors and undertake corrective processes
- Dependable and dedicated with strong work ethics
- Detail-oriented, multi-tasker
- Act as a SWAT team member by attending client conference calls as needed
- Ability to support and reputed company relevant information to coworkers
- Ability to reputed company under stressful conditions such as directional changes, tight deadlines, and limited resources
- Work patiently and effectively with team deadlines, structures, and peers
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