Data Entry - Claims Specialist

November 10

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Smart IMS Inc.

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Infrastructure Management Services • Application Development • QA/QC • Microsoft Dynamics 365 • Guidewire

1001 - 5000

Description

• Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility. • Meets or exceeds departmental quality and service standards. • Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately. • Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelines. • Determines eligibility and confirms effective dates for benefit elections based on contractual guidelines. • Leverages critical thinking and problem-solving skills to create and modify member level records across multiple products, applications, platforms. • Maintains accurate member records by verifying dates, names, salary figures, and other information provided by groups. • Applies policy provisions for effective dates, evidence of insurability and other pertinent information to determine necessary changes. • Considerate of what the customer will experience in all actions. • Recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness on system work independently.

Requirements

• High School or GED (Minimum Required) • No prior experience required • Ability to perform repetitive tasks while maintaining speed of work, accuracy and attention to detail without loss to productivity. • Ability to perform under stress in cases of emergency, critical or hazardous situations. • Ability to work with others in a team environment. • Demonstrates ability to work in a fast-paced environment. • Demonstrates interpersonal skills with a collaborative style. • Demonstrates organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail. • Demonstrates solid relationship management skills with internal and/or clients (e.g. management, peers, colleagues, customers, etc.). • Demonstrates the ability to use sound judgment and discretion regarding confidential information. • Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). • Successfully completes regulatory and job training requirements.