Job Description:
Essential Job Functions:
- Conducts correspondence related to client requests for information
- Evaluates available information to validate claims
- Verifies contract information, effective dates, status and verification of claim eligibility
- Identifies need for additional information
- Contacts appropriate source to obtain needed information
- Verifies beneficiary or claimant information if claim is warranted
- Identifies payment amount and obtains required management approvals for payment
- Processes payment
- Investigates moderate to highly complex claims and determines level or resolution if appropriate; advises claimant of status; assists in negotiating settlement and resolution of claim
- Receives demand letters; researches and investigates claims, responds within individual parameters and escalates as appropriate
Mandatory Qualifications:
- High school diploma or G.E.D.
- 3+ years of insurance/claims processing experience are mandatory
- Experience working with insurance and/or medical terminology
- Experience working with financial software packages
- Experience working with appropriate claims processing procedures and documentation
- Experience with Microsoft Office Suite
- Good interpersonal skills to interact with team members
- Position requires great communication skills to communicate with clients
- Position requires negotiation skills to interact with claimant
- Good analytical and problem-solving skills
- Ability to keep sensitive and confidential material private
- Ability to work in a team environment
Other Qualifications:
- Fellowship of Life Health Claims (FLHC) Certification is preferred
- PowerBi knowledge is desired
Work Environment:
Home office, remote work
Remote only within United States
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States
Compensation at DXC is influenced by an array of factors, including but not limited to the experience, job-related knowledge, skills, competencies, as well as contract-specific affordability and organizational requirements. A reasonable estimate of the current compensation range for this position is $35,000 - $65,000.Full-time hires are eligible to participate in the DXC benefit program. DXC offers a comprehensive, flexible, and competitive benefits program which includes, but is not limited to, health, dental, and vision insurance coverage; employee wellness; life and disability insurance; a retirement savings plan, paid holidays, paid time off.
If you are an applicant from the United States, Guam, or Puerto Rico
DXC Technology Company (DXC) is an Equal Opportunity employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by law. View postings below.
We participate in E-Verify. In addition to the posters already identified, DXC provides access to prospective employees for the Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters. To access the postings in the link below, select your state to view all applicable federal, state and locality postings. Postings are available in English, and in Spanish, where required. View postings below.
Postings link
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Please note: DXC will respond only to requests for accommodations due to a disability.
