Life/Health/Disability Claims Examiner
Location: Kansas City Missouri
Description: Forrest T. Jones & Company is employing Life/Health/Disability Claims Examiner right now, this career will be placed in Missouri. For complete informations about this career opportunity please read the description below. Forrest T. Jones & Company, Inc., and its affiliates (“FTJâ€), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets.
Position Summary
The Claims Examiner is responsible for the accurate and timely processing of health claims. The Claims Examiner is expected to provide courteous and prompt response to cu! stomer inquiries.
Expectations
Verifies the ! accuracy and receipt of all required documentation for each claim submitted. Evaluates claims for benefit payment according to policy provisions, and assures that the system processes the claim correctly. Has written and oral communications with insured’s, agents, providers, attorneys and employers. Documents the claim and image systems in an accurate manner. Contributes to the daily workflow with regular and punctual attendance. Adheres to the Claims Department’s established time-in-process, production and quality standards. Performs related or other assigned duties as required.
Competencies
- Excellent oral and written communication skills.
- PC skills, including Microsoft Word and Excel.
- Typing ability of 45 wpm.
- Ability to learn all functions of claims processing software as is necessary for claims processing and adjudication.
- Must be able to adapt to software changes as they occur.
- Knowledge of med! ical terminology and basic insurance concepts.
- Basic mathematical skills
- Strong interpersonal skills to work effectively with others, able to work in a team environment.
- Strong organizational skills.
- Strong analytical and interpretive skills.
- Ability to meet productivity standards with 99% financial accuracy.
- Ability to be flexible, work under pressure and meet deadlines while maintaining a positive attitude.
High School Diploma or equivalent. 2-5 years of claims processing experience required preferably any or all of the following; life, disability, health, dental, supplemental medical expense, excess loss, self-funded, cancer, hearing and vision. Bi-lingual English and Spanish speaking skills a plus.
Core Values
- We demonstrate INTEGRITY in all we do.
- We enthusiastically display our ENTREPRENEURIAL spirit with every opportunity and challenge.
- We are ! RESULTS-DRIVEN in our performance.
- We are COMMITTED to our pro! mises and people.
- We are STEWARDS of the people and resources entrusted to us.
Specialty insurance solutions with personalized expertise and responsiveness.
Full benefits package upon hire .
Please visit our website at www.ftj.com
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Forrest T. Jones & Company.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Tue, 10 Dec 2013 17:00:15 GMT