Claims Processor I
HybridRaleigh, North Carolina, United States
Job Summary
Catalogue incoming electronic documents, prepare and submit daily, weekly, and monthly claims reports, and initiate offsite check printing and EOBs. Respond to inbound calls from internal and external customers while investigating provider inquiries regarding bills and payments. Process unidentified mail, agent mailings, and underwriting return envelopes, issue payments for claims file expenses, and perform data entry functions. Index documents to meet monthly goals, prepare reports and letters based on jurisdictional requirements, and process Entity Entry (I-9) for compliance. Report workflow challenges to the Claims Support Supervisor and assist in training team members. This hybrid role requires two days in the Raleigh office and three days remote.
Required Qualifications
- High school diploma or equivalent
- At least 2 years of customer service/support experience and/or two years of commercial insurance and/or claims experience or an equivalent combination of education and experience
- Excellent customer relationship management skills required
- Ability to learn quickly and adapt to changing environment
- Solid customer focus and soft skills
- hybrid role will work in our Raleigh office two days a week with the flexibility to work from home the remaining three days
Desired Qualifications
- PC Computer skills (MS Office, Outlook); knowledge of policy processing systems, imaging systems and/or CRM systems is a plus
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