JOB DUTIES:

Refund Coordinator 1

• Responsible for the accurate and timely process of all refunds. Responsibilities include:
• Maintain refund database---daily balancing, write-off amounts and refund checks
• Place phone calls on all overpayments under 45 days old on a regular basis
• Refer all un-collectable overpayments to CRS after 45 days
• Create written communication to providers, members and other carriers using Microsoft Word software as necessary
• Assist in resolving issues with the Finance department as necessary
• Prepare refund request for the Fund
• 100% of daily database balancing
• Ability to identify potential problems/trends in processes and escalate for management review
• Ability to identify potential problems and possible solutions for process improvement
• Ability to work with other employees/departments to ensure timely and quality service
• Communicate daily with CRS on refund close-outs and complex issues
• Must meet the department's quality and production standards for this job, as provided on the work standards grid.

JOB REQUIREMENTS:

Minimum Education & Experience

• HS or GED
• Minimum two years' experience as a Claims Examiner

Mental/Visual concentration or Manual Dexterity

• Requires normal concentration
• Easily learned simple movements.

Computer Operations

• Must be PC literate
• Strong working knowledge of Microsoft Excel & Word
• Typing skills to meet or exceed 35 WPM
• Strong working knowledge of Claims system

Physical Work Environment

• Normal degree of physical effort in typical office environment with comfortable, constant temperatures and absence of objectionable elements
• May be subject to interruptions
• May be required to lift a maximum of 25 lbs
• Meets established attendance and punctuality guidelines.

Customer Focus

• Understand customer needs, both internal and external. Quality Focus
• Looks for opportunities to provide the highest quality service.

• Maintains appropriate documentation
• Works with other employees/departments to ensure timely and quality service.

Analysis

• Some analytical/problem solving skills.
• Some research skills.
• Mathematical proficiency required.

Planning

• Solid organizational skills
• Ability to prioritize and multi-task.

Communication

• Solid written and verbal skills
• Listens actively and communicates effectively with, co-workers, clients, employers and vendors.

Interpersonal Relations

• Assists, co-workers, clients, employers and vendors in a friendly, courteous, and professional manner.
• Uses courtesy in communication and working with others.
• Works with other employees/departments to ensure timely and quality service
• Patience and rapport with others required.

Teamwork

• Works well in a team environment with minimal supervision
• Contributes to team tactics to meet defined goals.
• Supports a work environment that is conducive to team productivity.
• Accepts team decisions and works toward implementation.

Positive Attitude

• Highly motivated.
• Demonstrates flexibility and resilience when faced with multiple demands and shifting priorities.

Integrity

• Approaches all business decisions and actions guided by sound personal and professional beliefs.
• High level of credibility and confidentiality.
• Earns trust by dealing honestly and following through on commitments

SALARY:

Grade VI

TESTING:

• Pre-Employment Test for new hires to ZAS
• Typing Test
• 10-key

BID INSTRUCTIONS:

Interested applicants should apply through our new ATS system

https://zenithamerican.applicantpro.com/internaljobs/ by COB Monday May 6, 2024.

EMail recruiting@zenith-american.com If you have any questions. The link can also be found on our intranet.