About the Team/Role
The Claims Specialist is responsible to properly review and process claims for Flexible Spending Accounts (FSA) and Health Reimbursement Arrangements (HRA) in accordance with Section 125 regulations.
How you'll make an impact
Daily claim processing.
Accurately process all FSA claim types.
Determine eligibility by utilizing available resources.
Ensure priority of workload is followed and turnaround times are met.
Properly process claim appeals.
Troubleshoot software issues accordingly.
Assist with other operational functions.
Coordinate with other departments when appropriate.
Assist Claims Supervisors with projects as assigned.
Work with Claims Supervisors to develop new processes and procedures.
Continuously improvement approach to work.
Communicate changes needed for processes.
Develop and update procedures as needed.
Promote continuous learning and sharing of knowledge.
Experience you'll bring
Claims processing experience (preferred)
Healthcare or Financial Industry experience
Attention to Detail
Analytical and Problem-Solving Skills
Time Management
Effective Communication Skills
Adaptability/ Change Management
Technical proficiency/ Tech Savvy
Top Skills
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