Reviews, codes, and inputs source data from storage media into a computer processing system.
Compares output to control totals and makes corrections to codes and batches as necessary. Prepares and distributes output reports as instructed.
Job Title | Job Description | |
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1 | Claims Payment Clerk II | The Claims Payment Clerk II inputs claim information into system for processing. Reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Being a Claims Payment Clerk II calculates settlement amounts according to guidelines. Verifies coverage eligibility. In addition, Claims Payment Clerk II processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. Being a Claims Payment Clerk II works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Working as a Claims Payment Clerk II typically requires 1-3 years of related experience, or may need 0 years of experience with additional specialized training and/or certification. |
2 | Data Analysis/Statistician II | The Data Analysis/Statistician II compiles reports, charts, and tables based on established statistical methods. Analyzes and interprets data from various sources. Being a Data Analysis/Statistician II typically reports to a supervisor or manager. Requires a bachelor's degree in a related area. Working as a Data Analysis/Statistician II typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. |
3 | Administrative Services - Clerical - Intermediate | The Administrative Services - Clerical - Intermediate gathers, compiles, and verifies information and performs data entry. Performs clerical tasks such as answering telephones, handling mail, operating office equipment and maintaining office supplies. Being an Administrative Services - Clerical - Intermediate typically reports to a supervisor or manager. Typically requires a high school diploma or its equivalent. Being an Administrative Services - Clerical - Intermediate gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as an Administrative Services - Clerical - Intermediate typically requires 1-3 years of related experience or may have 0 years of experience plus an associates degree, or additional training, or certification. |
4 | Data Scientist/Analytics, Entry | The Data Scientist/Analytics, Entry interprets results from multiple sources using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining independently. Identifies business trends and problems through complex big data analysis. Being a Data Scientist/Analytics, Entry prepares big data, implements data models and develops database to support the business solutions. Designs, develops and implements the most valuable business solutions for the organization. In addition, Data Scientist/Analytics, Entry may require an advanced degree. Typically reports to a manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience. Being a Data Scientist/Analytics, Entry work is closely managed. Works on projects/matters of limited complexity in a support role. Working as a Data Scientist/Analytics, Entry typically requires 0-2 years of related experience. |
5 | Data Scientist/Analytics, Expert Advisory | The Data Scientist/Analytics, Expert Advisory interprets results from multiple sources using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining independently. Identifies business trends and problems through complex big data analysis. Being a Data Scientist/Analytics, Expert Advisory prepares big data, implements data models and develops database to support the business solutions. Designs, develops and implements the most valuable business solutions for the organization. In addition, Data Scientist/Analytics, Expert Advisory typically requires an advanced degree. Typically reports to a manager or head of a unit/department. Works autonomously. Goals are generally communicated in solution or project goal terms. May provide a leadership role for the work group through knowledge in the area of specialization. Works on advanced, complex technical projects or business issues requiring state of the art technical or industry knowledge. Typically requires 10+ years of related experience. Being a Data Scientist/Analytics, Expert Advisory works autonomously. Goals are generally communicated in "solution" or project goal terms. May provide a leadership role for the work group through knowledge in the area of specialization. Works on advanced, complex technical projects or business issues requiring state of the art technical or industry knowledge. Working as a Data Scientist/Analytics, Expert Advisory typically requires 10+ years of related experience. |
Skills | Proficiency Level |
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Standard Operating Procedures (SOP) | Level 2 |
Attention to Detail | Level 3 |
Time Management | Level 2 |