Claims Administrator

Company: Key Family Of Companies
Location: Indianapolis
Posted on: January 26, 2023

Job Description:

Job DescriptionWe are pleased to welcome a Claims Administrator to join our growing team! Key Benefit Administrators is consistently named a Top Workplace by our employees, and we are excited to speak to qualified candidates about this remote work from home opportunity! Creating a Top Workplace is about more than offering great benefits and vacation time. It's about organizational health. Employees want to align with the company's vision, be challenged by a high-performance culture, and feel that they are valued and that their voices are heard. At Key Benefit Administrators, we believe in delivering a Wow level of service to our valued clients and living up to our mission of improving people's health through high quality, cost-effective care. Strong core values, supportive work relationships, high quality training and personal development are part of our DNA and we are looking for the right individual to join us!If you are passionate about delivering high quality service and would like to be part of our supportive family culture - we want to hear from you. The Claims Administrator position includes a comprehensive benefit package, award-winning training program and competitive salary! This is a work from home opportunity.Claims Administrator Overview: We believe that a successful Claims Administrator will provide accurate and timely healthcare claims payment for our clients delivering a caring human touch to our members, clients, health care providers and our employees. Claims Administrator Essential Duties and Responsibilities

• Reviews claims for all detail required to process claims submissions. Requests additional information as appropriate.
• Determines eligibility and covered benefits for services in accordance with plan provisions.
• Enters claims and initiates claim payment or denial in accordance to procedures and processes.
• Develops an understanding of plan documents and amendments for assigned groups.
• Identifies system problems in processing and communicates to appropriate area for correction.
• Maintains the performance standard set for the client group for accuracy and turnaround time.
• Responds within designated turnaround time to Customer Service personnel and other Key Family employees on claim issues and provides outstanding service to clients.
• Backup coverage (phones, emails, chats, etc.) as scheduled for Customer Service Competencies, Knowledge, Skills and Abilities
  • 3 - 5 years of experience in processing medical claims for self-insured and/or fully insured clients is essential. Some Third Party Administrator and claims system experience required.
  • Good verbal and written communication skills.
  • Organizational and problem solving skills with ability to analyze information to determine resolutions in accordance with procedures.
  • Medical Terminology.
  • Strong computer keyboard and navigational skills. Knowledge of Microsoft Excel and Word.
  • Ability to multi-task in a fast paced environment.
  • Applicants for part-time positions must be available on a full-time basis for an eight week training program.DDNP02
    
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Keywords: Key Family Of Companies, Indianapolis , Claims Administrator, Other , Indianapolis, Indiana