Claims Processor

Cynet Systems
Mason, OH Contractor
POSTED ON 10/1/2024 CLOSED ON 10/30/2024

What are the responsibilities and job description for the Claims Processor position at Cynet Systems?

Job Description:

Pay Range $13hr - $18hr
  • Execute the preliminary steps to build a new client structure for implementation requests routed through a shared Salesforce queue; using standard client set-up guideline(s) and process(es).
  • Initiation of and accurate and timely tracking for all completed tasks using proprietary Salesforce Implementation Tracker Project Management tool.
  • Benefit set-up validation in core Facets system and communicating to implementation owners any discrepancies with expected outcome.
  • Execution of new client online portal access set-up; includes sending the appropriate communication email templates, tracking status and reporting any identified issues.
  • Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators (TPA’s).
  • Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing.
Characteristics of an Ideal Candidate:
  • Ability to learn and adopt new processes quickly and with ease.
  • Ability to work remotely and autonomously.
  • Accustomed to working in a high-paced, high-volume environment.
  • Strong attention to detail.
  • Medium-Advance level of expertise with Microsoft Excel.
  • Proficient with Outlook.
  • Familiar with Cloud-based applications (i.e. OneDrive).
  • Ability to multi-task and perform duties using multiple sources or systems; Data Entry experience preferred.
  • Ability to clearly articulate findings, issues or concerns requiring resolution.

Salary : $13 - $18

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