Claims Representative

Company: BENE-CARE
Location: Webster
Posted on: May 25, 2023

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