Claims Representative

Are you ready to work in a fun environment where you truly know that you, and the work you perform, absolutely make a difference at the end of

the day? Are you at the point where you want to experience that the company you work for is genuinely a Community First, and a Company Second? If so, then you have come to the right place!

This nationwide Healthcare Organization is currently looking for Customer Service Representatives to join their Claims Department. Here you can show off your ability to be detail oriented and a team player. This is a unique roll where you are able to have an impact on almost every department throughout the company. This is a perfect position for someone who is interested in expanding their experience in healthcare, as you will get a firsthand look across all aspects of the processing cycle. Individuals who excel in this role are detail oriented and results driven and have the ability to work well with cross-functional groups. In this role, you will be able to work independently as a member of a high-volume team with an emphasis on quality, facilitate effective team interactions, and help foster a positive work environment.

Minimum Requirements:

• High school diploma or GED, required

• Strong typing and data entry skills by touch

• Strong customer service skills

• Intermediate computer skills and proficiency in MS Word, Outlook, and Excel required; basic proficiency in Access and PowerPoint required

• Deeply built values of TEAM!

Description:

functions include, but are not limited to:

1. Responds to customer calls related to claims inquiries and technical assistance requests.

2. Utilizes case tracking system to track and follow up on customer inquiries.

3. Answer calls and respond to emails from members, and providers.

4. A majority of calls are from members regarding eligibility, authorizations, enrollments payments/billing, claims, and ID cards.

5. Select, and explain the best solution to solve the issue.

6. Expedite correction or adjustment; follow up to ensure resolution.

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.