Claims Representative
Company: BENE-CARE
Location: Webster
Posted on: May 25, 2023
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Job Description:
Claims Representative - Account ServicesDepartment: Claims
Department FLSA Status: Non-ExemptEmployment Status: Full-Time;
Monday-Friday 8:30-5:00Salary: Based upon experienceJoin a team
worth working for!Bene-Care, Inc. is a local premier Human Capital
Management organization that helps clients confidently select,
successfully manage, and seamlessly integrate employee benefits,
payroll services, insurance and strategic HR Solutions, while
ensuring the highest level of regulatory compliance and customer
service.Don't know what makes the Human Capital Management industry
special? Well, chances are you interact with an HCM system every
day! When you apply for a job, get paid by your employer, go see a
doctor, need a tooth pulled or take an on-line training course you
are engaging with a Human Capital Management organization!Next, we
combine an exciting industry with a winning culture. Our 70+
employees are high-performing, collaborative, out-of-the-box
thinkers who break through obstacles and embody an "anything is
possible!" mindset. We love it here. Our work is challenging, fast
paced and REWARDING!Now you understand why since 1972, our company
has been one of the fastest growing, and quite honestly, the most
unique in our industry!And we're not done yet In order to continue
our uniqueness and status with the HCM world, we need people like
YOU to join our team! Are you up for the opportunity? If so, we are
seeking an Claims Representative who will ultimately be accountable
for helping us grow and retain one of our most value assets
(besides YOU), our clients!Claims Representative Essential Duties
and Responsibilities:Examine, process, calculate, and pay insurance
claims to Bene-Care TPA clients and their employeesProvide customer
service to claimants, providers, and clients regarding their claims
and/or policies for reimbursementProcess employee adds and terms
within DataPath 125 and 105 systemKey HRA and FSA claim
dataSubstantiate debit card swipesPremium Only Plan (POP) setup and
renewal processingCOBRA notice preparation and distributionStrictly
comply with federal and state regulatory laws, policies, and
company proceduresPerforms other work-related duties as
assignedMinimum Qualifications (Knowledge, Skills and
Abilities):Associates degree or equivalent trainingFamiliarity with
health care benefits and/or insurance terminologyWorking knowledge
of Microsoft Office applications; Word, Excel, OutlookProficient
basic mathematical skills and comfort working with percentage
calculationsAbility to work in a fast-paced environment with a
fluctuating workloadWillingness and desire to learnStrong attention
to detailExcellent communication skills; both written and
verbalAbility to work effectively within a team and
independentlyPreferred Qualifications:6 - 12 months of related
experienceAbility to read and understand medical terminology and
insurance claims as well as interpret documents such as medical
bills and EOB's (Explanation of Benefits)Physical Demands and Work
Conditions:The physical demands described here are representative
of those that should be met by an employee to successfully perform
the essential functions of this job with or without reasonable
accommodations. While performing the duties of this position, the
employee is frequently required to sit, walk, bend, use hands
(i.e.: type, write), talk, and hear. The employee is occasionally
required to stand and walk. Employee may occasionally be required
to lift and/or move up to 25 pounds.The work environment
characteristics described here are representative of those an
employee encounters while performing the essential functions of
this job. The noise level in the work environment is usually
moderate. _Nothing in this document should be interpreted as an
offer of employment and all employment with Bene-Care and its
affiliates is at-will. Reasonable accommodations will be made as
determined by the interactive process upon request and job duties
may be adjusted as needed to ensure that any current or potential
employee be successful at Bene-Care. Bene-Care and its affiliates
are Equal Opportunity Employers.
Keywords: BENE-CARE, Rochester , Claims Representative, Other , Webster, New York
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