Offers “Dxc Technology”

Expires soon Dxc Technology

Assistant Claims Examiner (51000154)

  • Melbourne (MELBOURNE CITY)
  • Teaching

Job description

·  Job Description:


Processes less complex or small standard claims to ensure accurate and timely completion.

Essential Job Functions

·  Enters insurance claims received electronically or in written form.
·  Answers incoming customer calls regarding claim processing. Documents claim and associated history.
·  Evaluates available information to validate straightforward basic claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
·  Sends claim form to claimant for updating, correction or completion.
·  Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment. Processes payment.
·  Advises claimant of status and resolution of claim. Escalates claimant concerns as appropriate.

Basic Qualifications

·  High school diploma or G.E.D.
·  Zero or more years of claims experience
·  Experience working with insurance and/or medical terminology
·  Experience working with appropriate claims processing procedures and documentation

Other Qualifications

·  Basic analytical and problem solving skills
·  Interpersonal skills to interact with team members
·  Communication skills to communicate with customers
·  Data entry skills
·  Ability to keep sensitive and confidential material private
·  Ability to work in a team environment

Work Environment

·  Office environment

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