Claims Examiner - Accident and Health Claims (Multiple position)
436 Walnut Street Philadelphia PA 19106- Hybrid role
6+ month contract with high potential for extension and can convert to permanent.
Our Fortune 500 client (One of the world's largest Insurance companies) in Philadelphia PA is looking for hardworking, motivated talent to join their innovative team.
Are you an Claims Examiner - Accident and Health Claims with a passion for collaborating with multiple teams and an interest in working onsite? Don't wait... apply today!
Must-Have Requirements:
• 5 - 7 years of auditing Accident and Health Claims processing, AD&D claim processing or claim investigation experience preferred.
• Experience in a customer interfacing position with progressive responsibility in role.
• Experience with case management process and ability to implement case management processes with clients.
• Understanding and ability to effectively manage PPO networks to ensure cost savings measures.
• Strong communication and writing abilities.
• Ability to interact with senior management both internally and with our external business partners.
• Able to work under tight deadlines with limited oversight.
• Accurately evaluate and process claims based on relevant documentation.
• Evaluate claim submissions, determine policy benefits, and request additional information as required to finalize claims.
• Manage inquiries, escalations, and pending files on claim decisions.
• Provide exceptional customer service by promptly following up and collaborating with internal and external business partners to address concerns and/or questions.
• Build broad knowledge of the various online systems for claims processing, imaging and policy administration.
Are you interested ? Please click apply button!
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ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.