Claims System Liaison
Core
Monitoring and maintaining claim systems functionality while providing administrative and clerical services to ensure efficient Claims department operations.
Role type
Claims operations specialist (administrative)
Builds
Claims department operations
Domain
Insurance / Claims administration
Deliverable
dashboards & analysis
Required skills
MS Office Suite proficiency, database management, EDI error processing, mail indexing and distribution, claim assignment processing, check processing, telephone communication, confidentiality maintenance
Preferred skills
Associate degree in business, business-related certification
Technologies
MS Office Suite, EDI systems
Responsibilities
Review systems for enhancements, coordinate claim system upgrades, maintain vendor and policy databases, process FROI EDI errors, process incoming mail and new claim assignments, process recovery/reimbursement checks, field calls regarding provider bills, complete special projects
Seniority
Junior to Mid-level, hands-on IC
