Cincinnati, OH, 45217, USA
18 hours ago
Claims Operations Associate
Job Title: Claims Operations Associate Location: Remote(preferably in CST or MST) Type: Contract Contractor Work Model: Remote Hours: 9:00 a.m. to 5:30 p.m. Central Time / 8:00 a.m. to 4:30 p.m. Mountain Time, Monday-Friday. Title: Claims Operations Associate - Central or Mountain Time Zone ALTA is supporting a contract opportunity working 100% remote. Our client is currently seeking a Claim Operations Associate to support our growing Claims Operations department. This is a work from home opportunity for candidates available to work a schedule of 9:00 a.m. to 5:30 p.m. Central Time / 8:00 a.m. to 4:30 p.m. Mountain Time, Monday-Friday. Required candidate location is within the Central Time Zone or Mountain Time Zone. This is a temporary contract assignment of 3+ months depending on business needs. Equipment will be supplied by the company. ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services. Responsibilities: + Demonstrates beginner to intermediate knowledge of the claims operations and the ability to address simple requests and complaints received via telephone, email, or voicemail, with some guidance. + Expands upon and employs problem-solving skills and learns the investigative methods needed to actively seek information required to resolve inquiries and issues. + Accepts and resolves call center calls and utilizes call center software. + Learns to identify discrepancies in information gathered. + Refers non-routine/complex issues to manager or more experienced staff. + Becomes familiar with and utilizes multiple computer systems for policy analysis, claim management, data management, reporting, and productivity. + Learns to utilize ClaimConnect, ClaimCenter, OpsNow, and Outlook to track workload, manage activities, remain organized, and timely. + May learn to execute basic claim setup and entry, coverage verification, and financial transactions. + May assist with and/or create general correspondence. + Maintains a professional demeanor in all situations. + Performs all other duties and tasks as assigned. + Works productively under close supervision; relies on instructions and pre-established guidelines to perform the functions of the job Education, Experience, Location and Availability: + High school diploma is required + Related billing claims assistant, claims processing or claims operations support experience is required + Workers' compensation claims experience is preferred + Location within the Central Time Zone or Mountain Time Zone is required + Must be available to work hours of 9:00 a.m. to 5:30 p.m. Central Time / 8:00 a.m. to 4:30 p.m. Mountain Time, Monday-Friday Additional Skills and Competencies: + Excellent communication skills in both written and verbal form is required + Must be able to work with accuracy and speed with a variety of internal and external contacts + Must be self-motivated as this is a work-from-home position System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. #M-PJ1 #LI-PJ1 #DI- Ref: #860-IT Cincinnati System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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