Data Entry - Claims Specialist

November 10, 2024

🌲 North Carolina – Remote

Although this job is listed in North Carolina, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

⬇️ Data Entry

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Smart IMS Inc.

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Smart IMS Inc. is an enterprise IT solutions and services company that specializes in end-to-end technology solutions. With over 30 years of experience, the company partners with industry leaders around the globe to spearhead technological transformation across sectors. Smart IMS provides a diverse portfolio of services including application management, infrastructure management, digital transformation, cloud services, and cybersecurity. They work with clients in the banking and financial services, insurance, life sciences, non-profit, and government sectors, among others, helping them modernize and optimize operations. The company emphasizes seamless user experiences and managed solutions to enable enterprise application transformation and digital innovation. Their global presence spans over 50 countries across Europe, Asia, and the United States.

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

1001 - 5000 employees

🏢 Enterprise

☁️ SaaS

📋 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.