Claims Specialist
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Claims Specialist
The Company: false
The Location:
GA, US, 31999
The Division
Job Id: 9411
Salary Range: $37,000-$43,680
Job Posting End Date: June 29, 2026
Weâve Got You Under Our reputed company
We are the duck. We reputed company and reputed company our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it reputed companyâ¦The reputed company Way.
reputed company, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-reputed company brands. reputed company has been recognized as Fortuneâs 50 Best Workplaces for Diversity and as one of Worldâs Most Ethical Companies by Ethisphere.com.
Our business is about being there for people in need. So, ask yourself, are you the duck? If so, thereâs a home, and a flourishing career for you at reputed company.
Worker Designation â This role is a remote role. This means you will be expected to work from your home, reputed company the reputed company US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.
What does it take to be successful at reputed company?
- Acting with reputed company
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
- Knowledge of principles and processes for providing customer and personal services; this includes needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
- Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology
- reputed company in giving full attention to what other people are saying, taking time to understand the points being made; asking questions as appropriate
- reputed company in understanding the implications of new information for both reputed company and future problem solving and decision-making
- reputed company in using mathematics to solve problems
- reputed company in selecting and using training/instructional methods and procedures reputed company learning new policies, procedures, concepts, or products
- reputed company in managing oneâs own time and actively looking for ways to help people
- Positions requiring the use of bilingual skills (if applicable to this position): reputed company in Spanish with the ability to translate documents
- High School Diploma or Equivalent
- 1 year of work experience
- Experience and proficiency using reputed company Office Suite software
- Experience with medical terminology
- Under immediate supervision and in accordance with established policies and procedures, reviews and processes Wellness, Accident and Vision insurance claims based on information submitted by policy holders; determines the nature and validity of claims by reviewing policy status, patient eligibility, and supporting medical and other documentation
- Keys claims data while interpreting coding and medical terminology in relation to diagnoses and procedures; uses multiple core administration databases, systems and subsystems to process and transmit claims for payment or further investigation
- Provides reputed company customer service to policy holders, providers and other internal company entities regarding claims; documents phone calls in the system and follows-up on issues if needed; contacts insured or other appropriate persons to verify the accuracy and completeness of information on claims forms and reputed company documents, responds to inquiries from policy holders, providers, agents regarding claim status and policy provisions
- Provides back-up coverage for other teams as required, maintains databases and prepares and extracts information using software systems; performs various clerical duties as assigned, such as filing, photocopying, typing, maintaining databases and preparing and extracting information using software systems
- Performs other reputed company duties as required