Job Posting for ENTRY LEVEL Claims Specialist at Connexion Systems and Engineering, Inc.
Claims Specialist
Bedford, MA (100% onsite)
Purpose
Review and carry out processes on all out of network claims.
Duties and Responsibilities
Responsible for daily review of IDR emails and carrying out responses
Organize and file IDR emails and responses in corresponding files
Monitor and track all fee requests from arbitrators
Compile supporting documentation and send to arbitrator within timeframe
Review and monitor automation reports to make sure processes are being carried out appropriately
Sort and file Good Faith negotiations
Respond to carrier and/or arbitrator inquires in response to good faith negotiations
Submit claims through necessary state arbitration portals
Prepare documents using Microsoft Word, Excel, PowerPoint, Adobe PDF
Complete special projects as assigned
Support management and assist staff as needed
Uphold company mission, vision, and values
Adhere to the Code of Conduct and be familiar with all compliance policies and procedures
Qualifications To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required.
Computer Skills
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word and Outlook required.
Experience
One to two years related experience preferred.
Specific Job Knowledge, Skill and Ability
Ability to add, to subtract, multiply and divide in all units of measure
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Ability to communicate effectively verbally and in writing
Ability to apply common sense understanding to carry out instructions
Specific vision abilities required by this job include close vision
Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
Job Type: Full-time
Pay: $19.00 per hour
Benefits:
Health insurance
On-site gym
Schedule:
Day shift
Monday to Friday
Work setting:
In-person
Office
Work Location: In person
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