Claims System Liaison
Core
Monitoring and maintaining claim systems functionality while providing administrative and clerical services to ensure effective operations of the Claims department.
Role type
Claims operations specialist (administrative)
Builds
Claims department operations
Domain
Insurance / Claims administration
Deliverable
dashboards & analysis
Required skills
MS Office Suite, database management, EDI error processing, telephone communication, mail processing, claim assignment processing, check processing, report distribution, spreadsheet management
Preferred skills
Associate degree in business, certification in business-related discipline
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, create and maintain database files for agency and member lists, complete special projects.
Seniority
Junior to Mid-level, hands-on IC