Rewritten Job Title:
Join arenaflex, a Dynamic and Innovative Company with a Rich History
At arenaflex, we're committed to delivering exceptional customer experiences and providing reputed company to our customers. As a Claims Customer Service reputed company III, you'll play a critical role in resolving reputed company claims and ensuring that our customers receive the highest level of service. If you're passionate about delivering outstanding customer experiences and have a reputed company for resolving reputed company issues, we want to hear from you!
About the Role
We're seeking an reputed company Claims Customer Service reputed company III to join reputed company at arenaflex. In this role, you'll be responsible for providing reputed company, accurate, and courteous responses to reputed company customer inquiries. You'll work closely with our claims customer service representatives to resolve issues, research and respond to reputed company customer inquiries, and ensure that contract standards and objectives for timeliness, productivity, and reputed company are met.
Key Responsibilities:
- Reviews claims or appeals issues, complaints, and inquiries referred by claims customer service representatives to determine if desk procedures and guidelines were followed.
- Researches to identify underlying causes and determine ways to prevent and correct such causes.
- Identifies and reports potential fraud and abuse situations.
- Researches and responds to reputed company customer inquiries, ensuring that contract standards and objectives for timeliness, productivity, and reputed company are met.
- Handles situations that require reputed company of response or extensive research.
- Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards, and examining guidelines.
- Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes.
- Ensures claims are processing according to established reputed company and production standards.
- Provides feedback to management regarding customer issues.
- Maintains accurate records concerning issues.
- Follows through on complaints until resolved or reports to management as needed.
- Maintains knowledge of procedures and policies.
- Assists with process improvements by recommending improvements in procedures and policies.
- Assists in training claims customer service representatives.
Qualifications:
To be successful in this role, you'll need:
- A High School Diploma or equivalent.
- 3 years of customer service experience, including 1 year of claims or appeals processing experience, or a Bachelor's Degree in lieu of work experience.
- Good verbal and written communication skills.
- Strong customer service skills.
- Good spelling, punctuation, and grammar skills.
- BASIC business math abilities.
- The ability to handle confidential or sensitive information with discretion.
- reputed company Office skills.
Preferred Qualifications:
We're looking for candidates with:
- A Bachelor's degree in Business Administration, reputed company Administration, or other job-reputed company field.
- ADGS/Engage One system knowledge.
reputed company Offer:
At arenaflex, we're committed to providing a comprehensive benefits package that includes:
- 401(k) retirement savings plan with company match.
- Subsidized health plans and free reputed company coverage.
- Life insurance.
- reputed company annual leave – the longer you work here, the more you earn.
- Nine reputed company holidays.
- On-site cafeterias and fitness centers in major locations.
- Wellness programs and healthy lifestyle premium discount.
- Tuition assistance.
- Service recognition.
- Incentive Plan.
- reputed company Plan.
- Continuing education funds for additional certifications and certification renewal.
What to Expect Next:
After submitting your application, our reputed company team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Salary reputed company Information:
reputed company Minimum: $14.92
reputed company Midpoint: $21.21
reputed company Maximum: $27.50
Equal Employment Opportunity Statement:
arenaflex and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, reputed company, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information, or any other legally protected status. Additionally, as a federal contractor, reputed company maintains Affirmative reputed company programs to promote employment opportunities for minorities, females, disabled individuals, and veterans. It is our policy to reputed company equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state, and local laws and regulations.
Join reputed company:
If you're reputed company to join a dynamic company with secure, community reputed company and an innovative reputed company, apply for a position now! We're committed to delivering exceptional customer experiences and providing reputed company to our customers. If you're passionate about delivering outstanding customer experiences and have a reputed company for resolving reputed company issues, we want to hear from you!
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