32 Jobs in Conshohocken, PA
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Clark Insurance is Hiring a Claims Processor Near Conshohocken, PA
DescriptionAs a member of the Spending Accounts team, the Claims Processor is responsible for properly adjudicating our clients' consumer-driven health plan claims, in accordance with plan-specific policy provisions, to determine extent of company's liability, make approval or denial decisions, and negotiate settlements with claimants.
ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited, to the following:
- Apply general processing procedures and specific guidelines to correctly process claims;
- Review and interpret pending claims to determine the appropriateness of the claim status to take necessary actions within FSA policy provisions;
- Examine information including authorizations, payments, denials, and resolve outstanding issues to meet client expectations;
- Partner with the Spending Account Client Service Representatives to correct errors, rectify omissions, and investigate questionable issues;
- Explain rationale on claim adjustments, to appropriate internal and external parties, such as payments and denial decisions;
- Adhere to MMA East's internal and external compliance and security processes;
- Report daily production to Senior Claims Processors and Spending Accounts Team Manager;
- Assist with special projects as determined by Spending Accounts Team Manager.
- High school diploma or GED equivalency is required, Bachelor's degree preferred;
- Minimum of 1 year demonstrated claims processing experience;
- Experience within consumer spending health plans, such as flexible spending accounts, health reimbursement accounts, health savings accounts is required;
- Proficiency in the Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook is required;
- Experience within a third party administration, benefits brokerage, health and welfare consulting, health care, or insurance related industry is highly preferred.
- Strong organizational, analytical skills and strong attention to detail;
- Excellent troubleshooting, decision making and problem solving skills;
- Solid interpersonal, verbal and written communication skills;
- Ability to work well independently and as a team member;
- Ability to multitask and successfully operate in a fast-paced work environment;
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is:
- Frequently required to sit; speak or hear; use hands to finger, handle, feel objects, and reach with hands and arms;
- Occasionally required to stand and walk;
- Extensive use of computer and keyboard and viewing of computer screen is required;
- Specific vision abilities required by this job include vision, and ability to adjust focus.
- Other working conditions are normal for an office environment.
- Work is typically performed in a hybrid manner based out of our Conshohocken, PA, office
Job Summary
Full Time
Insurance
$43k-54k (estimate)
05/27/2024
06/02/2024
clarkinsurance.com
HAMPTON, VA
50 - 100
1931
JASMYNE ROSE CLARK
$10M - $50M
Insurance
Related Companies
About Clark Insurance
Clark Insurance is a 100% employee-owned Insurance agency offering a full array of commercial, personal & employee benefits insurance products and value-added services. From our beginnings in 1931, Clark Insurance has grown from two people and a rolltop desk to a staff of over 100 insurance professionals. Named one of the top 5% of agencies among its size in the U.S. by the Independent Insurance Agents and Brokers Association of America, Clark Insurance serves personal, business and employee benefits customers in Maine, New Hampshire and Massachusetts. Our scope may be large, but our mission i ...
s simple: Know more and deliver insurance to as many clients as we can, in a professional, courteous, efficient and caring manner. Our employees have a special reason to cater completely to customers. Clark Insurance is an employee-owned agency. Our future success depends on customer satisfaction.
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The job skills required for Claims Processor include Problem Solving, Microsoft Office, Written Communication, Claim Processing, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Processor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Processor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Processor positions, which can be used as a reference in future career path planning. As a Claims Processor, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Processor. You can explore the career advancement for a Claims Processor below and select your interested title to get hiring information.
If you are interested in becoming a Claims Processor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Processor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Processor job description and responsibilities
Respond to customer questions, provide guidance on how to file claims and communicate to customers through phone call, email and chat systems.
02/12/2022: Springfield, OR
Claims Processor prepares daily reports for claims management team.
04/30/2022: Fort Myers, FL
Determines whether to return, deny, or pay claims according to organizational policies and procedures.
03/15/2022: Santa Cruz, CA
Claims Processor is responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquires.
03/06/2022: Helena, MT
For standard claims, a claims processor can calculate the claim amount and pay checks to clients.
04/14/2022: Greenville, MS
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Processor jobs
The time to send the acknowledgement email for each of the claims case should be set based on the customer type.
04/26/2022: Fresno, CA
An onset date should be recorded on all accident related claims.
02/19/2022: Greensboro, NC
Stop Wasting Time on Manual Administrative Tasks.
02/18/2022: Wilmington, DE
Deliver a Top Notch Client Experience.
03/12/2022: Sarasota, FL
When they’re not verifying and paying claims, processors have several administrative responsibilities.
03/02/2022: Cleveland, OH
Step 3: View the best colleges and universities for Claims Processor.
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