Remote Medical Claims Representative (S855278)

Responsible for ensuring health claims are paid accurately and timely for healthcare providers and policy holders while protecting the confidentiality of our customers' personal health information. Team members will be held accountable for meeting minimum quality and production standards.Responsibilities:Examines and processes claims on the Facets platform; determine whether to pend, deny or pay claims within policies.Follows policies and procedures, operating memos and corporate policies to resolve claims.Ability to meet or exceed Key Performance Indicators aligned with specific function/application.Positively influence change by accepting feedback and capitalizing upon opportunities to continuously improve.Working hours: 8:00 AM - 5:00 PMSkills:Demonstrated verbal and written communication skills.Commitment to meeting expectations of internal and external customers.Education:High SchoolExperience:ExperiencedQualifications:1 year of Customer Service experience is required.High School Diploma/GED is required.1+ year of Healthcare CSR experience is required or HIGHLY tenured Customer Service.Now Hiring Customer Service Reps in Bourbonannais to work from home! Please send qualified resumes to subject: ClaimsRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.If interested, please apply online at https://www.randstadusa.com/jobs/search/308/S855278/remote-medical-claims-representativebourbonnais?utmsource=craigslist&utmcampaign=job%20ads&utmmedium=job%20post