Claims Processor Lead at LogistiCare

Posted in Other 7 days ago.

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Type: Full Time
Location: Charleston, West Virginia

Job Description:

We seek a full time Lead Claims Processor. The Lead Claims Processor is responsible for assisting the management team with oversight of the verification and processing of transportation billing with accuracy and in a timely manner and serves as a liaison between the transportation providers and LogistiCare. In addition he/she ensures that the Claims Processors have adequate training and are proficient in their daily tasks and provide assistance with difficulties or questions by performing the following duties:

- Conducts the training of billing clerks
- Provides assistance to claims processors with difficult issues
- Maintains a positive working relationship with external and internal customers
- Communicates with transportation providers when applicable
- Meets all departmental deadlines
- Identifies any problems with transportation billing
- Works closely with both the Regional Offices
- Maintains a polite and courteous manner at all times
- Maintains/updates call logs
- Maintains/updates Excel spreadsheets
- Attends all required meetings
- Maintains an acceptable attendance and tardiness record
- Adheres to company policies and procedures
- Meets with management to discuss training/ workflow issues
- Performs other administrative duties as assigned

REQUIREMENTS

Education:
- Qualified candidates will have a High School Diploma or equivalent with previous experience in data processing. Some supervisory experience preferred.

Experience:
- One to two years of experience leading or directing staff preferred
- Previous experience in data processing required

Skills:
- 10-key skills are REQUIRED
- Ability to accurately type 35 words per minute
- Must be able to work independently and as a member of a team
- Superior customer service and phone skills
- Must be proficient in Microsoft Excel, Word and Outlook; Access a plus
- Must have the ability to learn proprietary software applications

Competencies:

- Communication, Oral - Ability to communicate effectively with others using the spoken word
- Communication, Written - Ability to communicate in writing clearly and concisely
- Customer Oriented - Ability to take care of the customers' needs while following company procedures
- Interpersonal - Ability to get along well with a variety of personalities and individuals
- Problem Solving - Ability to find a solution for or to deal proactively with work-related problems
- Time Management - Ability to utilize the available time to organize and complete work within given deadlines

Environmental and Working Conditions:
- Entire work time is conducted in an office setting

Physical and Mental Requirements:
- Must be able to understand and follow complex instructions

LogistiCare is an Equal Opportunity Employer.

REQUIREMENTS

Education:
- Qualified candidates will have a High School Diploma or equivalent with previous experience in data processing. Some supervisory experience preferred.

Experience:
- One to two years of experience leading or directing staff preferred
- Previous experience in data processing required

Skills:
- 10-key skills are REQUIRED
- Ability to accurately type 35 words per minute
- Must be able to work independently and as a member of a team
- Superior customer service and phone skills
- Must be proficient in Microsoft Excel, Word and Outlook; Access a plus
- Must have the ability to learn proprietary software applications

Competencies:

- Communication, Oral - Ability to communicate effectively with others using the spoken word
- Communication, Written - Ability to communicate in writing clearly and concisely
- Customer Oriented - Ability to take care of the customers' needs while following company procedures
- Interpersonal - Ability to get along well with a variety of personalities and individuals
- Problem Solving - Ability to find a solution for or to deal proactively with work-related problems
- Time Management - Ability to utilize the available time to organize and complete work within given deadlines

Environmental and Working Conditions:
- Entire work time is conducted in an office setting

Physical and Mental Requirements:
- Must be able to understand and follow complex instructions

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled