TEMP BPO Senior Associate

Claims Type: Must have TPA experience, Dental and Commercial Claims *VBA Experience is preferred-nice to have Location: Remote US Hours: Full time Mon-Friday 8 - 5 CT Type: Long Term Temporary to Direct Hire * Additional Information: Client will want 3-5 professional references and background screens. No Drug Screen. No CA Located candidates!!! POSITION SUMMARY: The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible for registering, processing, and adjudicating claims accurately and efficiently. PRINCIPAL DUTIES AND RESPONSIBILITIES:  Process all claims for assigned group(s) within ten days of receipt.  Complete forms for overspecific claims, including, but not limited to, printing EOBs, pulling claims and copying claims.  Contact providers and case management company for information regarding problem claims.  Print/mail EOBs and claim forms requested by providers and insured members.  Assist with audits for assigned group.  Assist with claims processing and overspecific for new or backlogged groups.  Obtain needed information for subrogation claims and to determine pre-existing conditions.  Perform other duties as assigned. GENERAL EXPECTATIONS:  Present a positive image of Consociate at all time.  Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer, co-worker, producer or supervisor.  Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.  Identify and perform work that has not been specifically assigned, as needed.  Adhere to established safety standards and utilizes proper techniques to avoid work related injuries.  Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.  Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Administration Division.  Attend required in-service and staff meetings.  Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants. SERVICE EXPECTATIONS:  Greets all people in a prompt and courteous manner. Communicates in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.  Ask customers what they need and strive to exceed their expectations. Offer and provide assistance whether or not the request falls within your specific job duties.  Assists customers through the insurance submission/enrollment experience.  Respond to customer requests in a timely manner, returning calls promptly and keeping them informed of delays before they ask.  Makes decisions based on customer needs, opinions, complaints or suggestions.  Takes appropriate steps to resolve problems to the customer's or producer's satisfaction.  Ask customers for their opinions, accepting criticism as an opportunity to improve service.  Seek opportunities, provide value-added services, and eliminate tasks that do not serve our customer.  Remain aware of products and services provided by Dansig and Consociate.  Project a positive, professional image when working. KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:  High School Education required.  Minimum of one to three years of experience working with the public. Previous insurance billing or customer service background recommended. PHYSICAL AND MENTAL ABILITIES:  Ability to perform sedentary work for extended periods of time.  Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.  Ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.  The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.