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Claims Representative
Ref No.: 20-04603
Location: Memphis, Tennessee
Claims Representative

Address: 1640 Century Center Parkway, Memphis, TN 38134
Hours: Monday-Friday 8:00AM-5:00PM

Pay: $15.00-$17.00/hour paid every Friday
Contract Length: 10/19/2020 to 04/17/2021 (extension and permanent placement based on  attendance and performance)
Openings: 15


Duties:
  • Delivers straightforward administrative and/or other basic business services in Claims.
  • Examines and processes paper claims and/or electronic claims.
  • Determines whether to return, pend, deny or pay claims within policies.
  • Determines steps necessary for adjudication.
  • Settles claims with claimants in accordance with policy provisions.
  • Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claim.
  • Interacts with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries.
  • Issues tend to be routine in nature. Good knowledge and understanding of Claims and business/operating processes and procedures.
  • Works to clearly defined procedures under close supervision.
  • This job is an inbound phone line where data is entered into patient's account
Skills:
  • Must have inbound call center experience to be considered – preferably in healthcare setting
  • Ability to pass 7-year county background check and urine drug screen (medical marijuana card approved)
  • Strong data entry and 10-key skills
  • Retail pharmacy, customer service experience helpful but not required
  • PC and MS Office literate
  • Strong attention to detail
  • Excellent retention and judgment ability
  • Proficient written and oral communication skills
  • Ability to work in fast-paced, production environment
  • Reliable, self-motivated with excellent attendance
  • Team player who has the ability to stay on task with little supervision
  • Inbound call center experience required (preferably healthcare)