Claims Specialist in Fort Washington, PA at CRS Group

Date Posted: 1/13/2020

Job Snapshot

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.
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

  • Strong decision-making skills
  • Strong written communication skills-grammar, flow, and cohesion.
  • Experience in auto, homeowners, medical billing (encoding), workers comp or travel is needed
  • 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
  • College preferred, or equivalent work experience
  • 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.

ss # 86139
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.


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