Responsibilities
- Review incoming claims and related documentation to ensure accuracy and completeness.
- Address inquiries or concerns from drivers related to claim status, payment, and discrepancies.
- Enter claim information and relevant details into the claims processing system.
- Review company policies to determine coverage and assess validity of claim.
- Apply established guidelines and policies to determine claim eligibility and process claims accordingly.
- Obtain missing information by using standard scripts or form letters.
- Collaborate with drivers when applicable to gather additional information or clarify claim details.
- Maintain productivity and adheres to departmental deadlines, policies, and procedures in handling
- Report suspected fraudulent claims to Fraud, Waste, and Abuse (FWA) department.
- May assist in claims review to ensure compliance and/or fraudulent/abuse.
- Participate in other projects or duties as assigned.
- Organize and maintains departmental deadlines, policies, and procedures.
- Collaborate with other departments to resolve inquiries and concerns.
- Provide exceptional customer service via phone.
Requirements
- High School Diploma required.
- One (1) plus years of experience in a data or claim processing role, Or equivalent combination of education and/or experience.
- Strong attention to detail and proficient data entry skills for accurate claims processing
- Working knowledge of Microsoft applications (Word, Excel and Outlook)
- Analytical mindset with the ability to interpret claim data and follow established guidelines
- Excellent customer services skills
- Strong verbal and written communication skills to interact with a superior customer-focused demeanor
- Problem solving abilities to address claim issues and resolve discrepancies
- Ability to work independently and as a member of a team.
- Ability to accurately type 35 words per minute and use of 10-key.
Compensation
Salary: $17/ hour
Additional Information
- Positions are posted and open for applications for a minimum of 5 days.
- We frequently post new opportunities and encourage prospective candidates to check back often for new postings.
- Modivcare is an Equal Opportunity Employer.
- EEO is The Law - click here for more information
- Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
- We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law.
- If you need assistance, please reach out to us at hr.recruiting@modivcare.com
