Pearl Interactive Network is sourcing to hire a Claims Technician.The Claims Technician is responsible for processing reimbursement payments for the Ticket to Work Program. The Claims Technician will provide instructions about payments and distribution. The Claims Technician will provide information with professionalism, precision, and an appropriate sense of urgency. In addition, the Claims Technician will work closely with the Sr. Payment Specialist to ensure all deliverables are accomplished.Pearl offers a Competitive Compensation and Benefits package to include:
Medical, Dental, Vision, and Life Insurance
Paid time off, Paid holidays
401K eligibility
Additional ancillary benefits to support your lifestyle professionally, physically, and financially through our professional development and coaching program.
Operating Hours: 6 am - 8 pm EST, Monday - FridayTechnical Equipment, and Remote Office Requirements:
Broadband internet connection with a minimum download speed of 25 Mbps and upload speed of 5 Mbps. No Satellite Connections. Test your network at speed.cloudflare.com to verify before you apply.
Ethernet cable access. Wi-Fi-only connectivity is prohibited.
Private and secure workspace within your home. Away from noise and distractions.
Computer equipment, monitor, and headset provided.
Job Duties:
Respond to reimbursement Payment Inquiries regarding the status of payments, clarification of policy, and assist in processing payments for beneficiaries.
Evaluate and Review all request reimbursement and cost to ensure compensation is made in a timely, accurate, and efficient manner.
Coordinate any discrepancies or corrective action plans prior to making payments.
Collaborate in creating automated payments utilizing their iTOPSS system.
Adhere to Performance Requirements.
Provide updates ensuring compliance with timeline expectations.
Make the caller aware of other services and actions that may lead to greater success.
Keep pace with trends, changes, and competitor actions that might affect payments.
Prepare reports by collecting, analyzing, and summarizing information.
Preserve quality service by establishing and enforcing organization standards.
Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; and participating in professional societies.
Job Requirements:
High School diploma, BS, or BA preferred
Passion to help others
Strong and effective communication skills
Outstanding writing and editing skills
Effectively present information and respond to questions
Excellent organization skills
Work well independently
Ability to work in a fast-paced environment independently and meet aggressive deadlines
Physical Requirements:While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; talk or hear. The employee is regularly required to sit for prolonged periods of time. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by the job include close vision, distance vision, depth perception, and the ability to adjust focus.The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. Pearl management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.Background Investigation, Drug Screening, and Skills Assessment RequiredAttention Job Seekers: Please be advised that our company determines wages in accordance with geographical location and in compliance with Service Contract Act (SCA) regulations. This policy ensures that our compensation packages are competitive within local job markets and adhere to federal standards. We are committed to fair and equitable pay practices across all our operations. Thank you for your interest in joining our team.Pearl Interactive Network, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.