Data Entry/ Claims specalist

Job 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.

Qualifications

EDUCATION AND EXPERIENCE

• High School or GED (Minimum Required)
• No prior experience required

OTHER SKILLS AND ABILITIES

• 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.

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