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Operations Support Services Coordinator

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."

PRIMARY PURPOSE:
To support and maintain the claims management system for a local office or multiple office locations; and to ensure security access meets established policies within assigned group.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Completes examiner update reports, claim adjustments, provider requests and operational expense check requests.
Queues claims for Managed Care; transfers payment allocations; and runs manual pre-pay and balances as requested.
Creates and maintains internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and whether they meet established policies.
Coordinates with company's internal audit group to ensure security access is defined and implemented according to established policies and procedures.
Communicates and collaborates with other internal departments to support the security needs of end-users.
Researches and gathers data as needed for auditing, special projects or returned checks.
Provides telephone support to end-users.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing
High School diploma or GED required. AS/AA degree preferred.

Experience
Three (3) years of PC experience including Microsoft Office products and two (2) years of claims management or insurance experience required.

Skills & Knowledge
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/18395989

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Published on Jan 25, 2011
Viewed: 389 times