Claims Processor - Flex Benefits

• Understand and follow all claims procedures
• Stay up to date on all applicable regulations related to claims processing.
• Collaborate with the claims team to optimize efficiency.
• Handle confidential information according to all HIPAA legislation.
• Enter, adjudicate and audit claims following internal process and procedure.
• Provide excellent experience for our participants and clients.
• Perform claims adjustments per internal procedure.
• Perform any other duties, pertaining to the business needs as assigned by Department Manager.
• Be a self-starter who can take initiative.
• Superior written, verbal, and organizational skills.
• Be highly detail-oriented and possess strong multitasking and time management.
• Highly organized, embracing challenges and workflow changes.
• Work well under stressful situations and handle a large client book with high call and email volumes at times.
• Ability to set and exceed expectations.
• Be a team player but able to work independently.
• Minimum of 2 years’ experience in reviewing and processing claims.
• Minimum of 2 years’ experience with Flexible Spending Accounts with a previous TPA.
• Familiarity with compliance requirements governing pre-tax benefits. IRS Sections 125, 105, and 132.
• Associates Degree preferred

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