Claims Specialist
United States6d ago
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About the role
About the Team/Role
The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules. A Claims Specialist should be prepared to work in a detail oriented and fast paced environment with a high level of accuracy.
How you'll make an impact :
- Daily claim processing.
- Accurately process all FSA claim types.
- Determine eligibility by utilizing available resources.
- Ensure priority of workload is followed and turnaround times are met.
- Properly process claim appeals.
- Troubleshoot software issues accordingly.
- Assist with other operational functions.
- Coordinate with other departments when appropriate.
- Assist Claims Supervisors with projects as assigned.
- Work with Claims Supervisors to develop new processes and procedures.
- Continuous improvement approach to work.
- Communicate changes needed for processes.
- Develop and update procedures as needed.
- Promote continuous learning and sharing of knowledge.