Specialist, Claims-2

hace 5 días


Xochimilco Nuevo León, México Inmar Intelligence A tiempo completo

Under the general supervision of the Manager, Client Operations the Claims Specialist, Client Receivables is responsible for the daily upload of client receivables into the system. Duties may include daily file loads, master file maintenance, trending, and resolving any data issues. The specialist also participates in the onboarding of new clients and claims feed conversions.

Primary Accountabilities
*Operational (75%)*

  • Load claim files into the system daily, perform exceptions trending, and check for missing stores
  • Assist with onboarding new clients and claim feed conversions
  • Research and request missing claims files through communication with Data Movement and Client Account Teams
  • Upload CSV files into the system
  • Complete balancing routines daily

*Administrative (25%)*

  • Maintain system environments
  • Enter accounting calendars in PFM systems
  • Maintain claims SOC log
  • Follow HIPAA policies and procedures per company guidelines

Required Qualification

  • High School Diploma or GED equivalent required
  • 2-4 years of related work experience and/or any equivalent combination of experience and training

that provides the required knowledge, skills, and abilities needed to complete the major responsibilities/essential functions of the position.

  • Proficient in Microsoft Windows
  • Competent in Google Office Suite, Microsoft Office

Individual Competencies

  • Adaptable: Responds to change with a willingness to learn new ways to accomplish work.
  • Communication: Giving and receiving messages and information in written, oral, and visual formats in a clear and concise way for a complete understanding of meaning and intent.
  • Analytical and Critical Thinking: Ability to tackle a problem by using a logical, systematic, sequential

approach.

  • Problem Solving - Gathers and analyzes information to generate and evaluate solutions to problems, issues and challenges while weighing the accuracy and relevance of the facts, data and information.
  • Collaboration: Works collaboratively with others to achieve group goals and objectives
  • Urgency: Transfers mission to action by acting clearly and decisively to analyze and implement solutions regardless of pressure or uncertainty and maintains a sense of urgency to complete tasks, accomplish goals, and act in ambiguous situations.

The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.
While performing the duties of this job, the associate is:

  • Regularly required to use hands to finger, handle or feel objects, tools or controls, and reach with

hands or arms.

  • Regularly required to talk or hear and read instructions on a computer monitor and/or printed on

paper.

  • Rarely required to stand, kneel or stoop, and lift and/or move up to 5 pounds.
  • Regularly required to view items at an extremely close range and must be able to adjust and readjust

focus.
Safety

  • Support a safe work environment by following safety rules and regulations and reporting all safety

hazards.
As An Inmar Associate, You

  • Put clients first and consistently display a positive attitude and behaviors that demonstrate an

awareness and willingness to listen and respond to clients in order to meet their short-term and long-term needs, requirements and exceed their expectations.

  • Treat clients and teammates with courtesy, consideration and tact; you also have the ability to perceive

the needs of internal and external clients and communicate effectively with the objective of delighting and retaining the client.

  • Build collaborative relationships and work cooperatively with others, inside and outside the

organization, to accomplish objectives, develop and maintain mutually-beneficial partnerships, leverage information and achieve results.

  • Set and attain achievable, yet aggressive, goals with a sense of urgency and accountability.
  • Understand that results are important and focus on turning mission into action to achieve results

following the principles of Flawless Execution while consistently complying with quality, service and productivity standards to meet deadlines and exceed expectations by giving our clients the best possible outcome.
We are an Equal Opportunity Employer, including disability/vets.
Recruitment Fraud Notice:
Recruitment fraud is an increasingly common scam where individuals pose as employers to offer fictitious job opportunities. Scammers sometimes impersonate Inmar recruiters on LinkedIn and other channels. We will never ask for payment or sensitive personal information during the hiring process. Verify any role on our official Workday Careers site and learn how to spot scams in our full notice.

This position is not eligible for student visa sponsorship, including F-1 OPT or CPT. Candidates must have authorization to work in the U.S. without the need for employer sponsorship now or in the future.



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