Claims Examiner in Fort Washington at CRS Group

Date Posted: 11/6/2019

Job Snapshot

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  • Job Type:
  • Experience:
    Not Specified
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Job Description

Claims Specialist
Duration: 6 month contract
Location: Fort Washington, PA 19034
Overview: The CRS Group is currently looking for a Claims Specialist for one of our clients in the Fort Washington area. The CRS Group is a nationwide Staffing Firm who works primarily with Fortune 500 and Fortune 1000 corporations.
Job Description:
Our client is ready to welcome a new group of Claims Examiners / Claims Specialist and one of them may be you. As you continue to grow your knowledge of the industry, you will analyze and settle insurance claims in accordance with plan provisions. This industry has a lot of nooks and crannies in which you can specialize. Classroom training will be provided for 3-4 weeks.
Duties and Responsibilities:
  • Compare data on claim forms against insurance plans to determine insurance coverage
  • Review completeness and validity of claims
  • Proactively resolve claims as expeditiously as possible and approve claims, when appropriate in accordance with policies and procedures.
  • Calculate reimbursement of benefits according to the schedule of coverage
  • Generate claim reports, as directed by each account.
  • Develop your training skills by functioning as a resource for newer examiners
  • Timely phone and written correspondence with policyholder
  • Qualifications:
  • College preferred, or equivalent work experience
  • 1 - 3 years of CLAIMS ADJUDICATION experience preferred in either the travel, Medical, or Auto insurance industry
  • Ability to make decision with minimal guidance based on provided training
  • Strong oral and written communication skills with the ability to draft correspondence that is clear, concise and effective. Solid verbal communication skills.
  • Sound computer skills, including knowledge of (MS Office, Internet searches, Email correspondence programs)
  • Ability to manage time effectively and focus on multiple projects concurrently.
  • Work without significant guidance
  • Production environment experience a plus
  • Writes clearly, concisely and effectively
  • Communicates verbally effectively and with impact
  • Detail oriented.
  • Ability to multi-task.
  • Manages time effectively
  • Committed to superior customer servicing.
  • Ability to work independently, a self-starter.
  • crs_scapozzi
    ss # 85825
    Qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or genetic information.