Claims Analyst

Company: Apex Systems ( Learn More )

General Information
High School
At least 2 year(s)
Not Specified
Job Description

Please send resumes to [Click Here to Email Your Resumé] 

  • -Claims exp: 1 year of claims exp. 
  • Profile Summary
  •  This role will be reviewing for completeness of accompanying documents and/or performing front-end triage, and update administrative systems with details of the claim request. This role will be working within a fast moving, production environment and require experience with the Microsoft Suite. Our ideal candidate will have experience using Microsoft Excel and have experience with Pivot tables and using Macros.

  • Profile Description
  • Creates claim data spreadsheets, including formatting, formulas, macros and pivot tables to prepare for claim entry.  Enters claims into the appropriate administrative systems. 
  • Determines claim eligibility based on established criteria. Working with other team members to coordinate the management of the shared email box.
  • Provides excellent customer service by responding in a timely and appropriate manner to all internal and external customer inquiries
  • Responsible for performing all tasks within department quality and service level agreement standards.
  • Knowledge and Experience

  • High School diploma or equivalent
  • 1 –2 years of experience in a production environment
  • Good oral and written communication skills
  • PC skills, to include word processing
  • Previous experience with Microsoft Excel and Outlook; to include Pivot Tables and Macros
  • Previous Insurance experience is highly preferred

  • Job Requirements