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
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 US
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 RicoDXC Technology is an Equal Opportunity/Affirmative Action employer . All qualified candidates will receive consideration for employment without regard to disability, protected veteran status, race, color, religious creed, national origin, citizenship, marital status, sex, sexual orientation/gender identity, age or genetic information. DXC's commitment to diversity and inclusive selection practices includes ensuring qualified long-term unemployed job seekers receive equal consideration for employment. 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 (https://mandatoryview.com/?LicenceId=c38a7700-5aa2-48a3-b95a-22e6e1fb0721&ProductType=OnlineApplicant&SubType=PG)Disability AccommodationsIf you are an individual with a disability, a disabled veteran, or a wounded warrior and you are unable or limited in your ability to access or use this site as a result of your disability, you may request a reasonable accommodation by contacting us via email ([email protected]) .Please note: DXC will respond only to requests for accommodations due to a disability.Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here .