Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.

Primary Responsibilities:

• Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
• Analyze and identify trends and provide reports as necessary
• Consistently meet established productivity, schedule adherence, and quality standards
• Moderate work experience within own function.
• Some work is completed without established procedures.
• Basic tasks are completed without review by others.
• Supervision/guidance is required for higher level tasks.
• Limited work experience.
• Works on simple tasks using established procedures.
• Depends on others for guidance.
• Work is typically reviewed by others.

• High School Diploma/GED
• Available to work 40 hours per week within the operating hours of the site 
• Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product 
• Ability to remain focused and productive each day though tasks may be repetitive