New

Claim Intake Specialist

TEKsystems
$19.00 - $21.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Texas, Amarillo
Jan 09, 2025
Description Job Purpose: Responsible for administrative claim setup as well as initial claim review, assisting in claim coding, including but not limited to: Eligibility assessment, determine coverage amounts, editing member data in the billing systems, policy requirements, Investigates, researches, and diligently obtains required information on all types of claims types and Payment Procedures. Job Responsibilities: Evaluate and review claims to determine coverage amounts, eligibility, identification of beneficiary(ies), policy requirements and payment procedures. Contact Beneficiary, Employer and/or Broker to notify by telephone or letter and verify questionable information submitted on claims. Create, review and edit member and benefit information including Self-Administered Billing, Self-Administered Billing-Web, Third Party Administrators, spouse and dependent coverages. Update party records and roles, benefit cases and benefit entitlements as it relates to claims. Complete Intake scripts. Acquire thorough knowledge of all policies, state statutes, regulations, ERISA, and departmental procedures to ensure proper handling or management of claims, while in the role. Proactively identifies inconsistencies or lag in claim information and utilizes effective approaches and resources to obtain clarification or verification. Maintain accurate documentation of activities in claim file in accordance with company practices and procedures. Identify, research & code the following claim types: Life, Waiver of Premium, Critical Illness/Specified Disease, Accidental Insurance, GAP, Accidental Death, Dismemberment, Permanent and Total Disability (PTD), Accelerated Death Benefits, and Secured Claims. Skills & Qualifications* Required Job Qualifications: Bachelor Degree and 2 year of claims experience or 6 years of claims experience. Knowledge of ECM, STAR (Claim System), Genelco/GIAS, Siebel, UTS, Casetrak, Docsql, Benefits Manager, ImagePlus, and Incomplete Tool. Problem solving and research skills. PC proficiency to include Word, Excel, PowerPoint, Outlook and Lotus Notes. Preferred Job Qualifications: Aptitude for math and critical thinking skills. Knowledge of state regulations, statutes, and ERISA. Detailed oriented. Hours: 8am - 5pm *Hybrid - Can sit out of local offices in Lombard, IL, Richardson, TX, or Amarillo, TX Pay and Benefits* The pay range for this position is $19.00 - $21.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Amarillo,TX. Application Deadline This position will be accepting applications until Jan 21, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.