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Claims Specialist

Garden City, NY | Temporary

Post Date: 08/09/2018 Job ID: 98251 Areas of Expertise: Call Center Pay Rate: $17.98/hr

Contemporary Staffing Solutions is currently recruiting Claims Specialists for temporary positions in Garden City, NY!

Our client company is a leading professional services firm that provides a broad range of insurances and other related amenities to our customers. They are a global firm with offices in 120 countries, but no matter where they are located, their goal remains the same: they want to empower customers by opening up new economic and health opportunities for them.

Claims Specialists are responsible for handling all claim-related tasks in the office as well as working closely with the Marketing and Customer Service departments. Ideal candidates for this position are outgoing, dedicated, and have high emotional intelligence.

Responsibilities of the Claims Specialist include:

  • Setting adequate reserves to ensure proper reporting.
  • Comparing data on claim forms with insurance plans to ascertain completeness and validity of the claim. 
  • Examining claim forms and other records to determine insurance coverage.
  • Proactively working to resolve claims expeditiously.
  • Analyzing detailed medical records.
  • Calculating the reimbursement of benefits according to the schedule of coverage.
  • Running various claim reports as directed by the account.
  • Acting as a liaison with Marketing/Customer Service departments.
  • Cultivating relationships.
  • Approving claims at the appropriately demonstrated assigned authority level. 
  • Functioning as a resource for examiners.
  • Assisting with training new examiners and customer service representatives.
  • Handling difficult phone calls and composing correspondence.
  • Working on special projects and other tasks as assigned. 

Perks of Working with Our Client Company:

  • Our client company does their best to take care of their employees. To show their appreciation for them, they offer benefits for permanent employees that include:
    • Competitive total rewards package
    • Continuing education
    • Job training
    • Health insurance
    • Vacation and Paid Time Off
    • Paid Maternity leave
    • 401K with Company match

Requirements of the Claims Specialist:

  • New York State All Lines Claims Adjuster Insurance License
  • Minimum of 3 years of Claims Adjudication experience 
  • Clear, concise, and effective writing skills
  • Effective verbal communication skills
  • Computer literate
  • Detail-oriented, organized multitasker

Aliha Walker

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