Job Description
Would you like to work for a Fortune 500 company?
We have an immediate need for aHealth Insurance ClaimsProcessor in the beautiful city of Greenville, South Carolina.
Job Summary:
Professional with demonstrated competencies in investigation, analysis and decision making who is able to carry out decisions and resolve disagreements using strong interpersonal and communication skills. Proven customer service skills
This position is responsible for assisting, monitoring departmental activities, to assure claims payment accuracy with all regulatory agencies.
Essential Duties and Responsibilities
Audit for accuracy and adjustment of claims.
Interacts and communicates verbally and in writing with Claims and Network Staff in response to any issue related to claim errors.
Assurance to claims payments accuracy by utilizing all necessary software available.
Report any discrepancies found in the system to the Claims Manager or Director of the department for further handling.
Qualifications:
Extensive knowledge of regulatory requirements affecting claims processing is a minimum requirement.
Strong interpersonal skills are required. The highest level of integrity is required and the ability to make sensitive decisions never jeopardizing the companys reputation or the confidentiality of privileged information.
Strong analytical skills and claims processing knowledge required.
Experience:
Two years or more related experience in processingHealth claims, knowledge of claims Audit and Compliance guidelines and regulations.
Stable career growth and back office knowledgein theinsurance industry.
The local offices of Kelly Services do not represent the above position, please apply on-line for immediate consideration. For questions regarding this position, please email, updykdc[Click Here to Email Your Resum]
About Kelly Services
Kelly Services, Inc. (NASDAQ: KELYA, KELYB) is a leader in providing workforce solutions.Kelly offers a comprehensive array of outsourcing and consulting services as well as world-class staffing on a temporary, temporary-to-hire, and direct-hire basis.Serving clients around the globe, Kelly provides employment to more than 560,000 employees annually.Revenue in 2012 was $5.5 billion.Visit kellyservices.com and download The Talent Project, a free iPad app by Kelly Services.
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Job Requirements
Country: USA, State: South Carolina, City: GREENVILLE, Company: Kelly Services.
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