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Insurance Claims Representative - Des Moines, IA

Description

The CSI Companies is currently seeking an Insurance Claims Representative to support one of our healthcare clients in the Des Moines, IA area. This role is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case. CSIORL

Schedule:  Mon-Friday: 8am-4:30pm

Salary:  $15.77

Main Duties & Responsibilities:

- Effectively work, maintain and manage a variety of cases with current and accurate notes.

- May have some training responsibilities for other case workers limited to projects and specific tasks.

- Maintain a daily system of providing timely and accurate information required to move cases through the verification and case management pipeline.

- Verify documents and coordinate health care coverage for patients, including eligibility of benefits.

- Professional interaction with attorneys, insurance adjusters, medical providers, court staff, recipients and family members.

- Negotiate lien settlements per contract guidelines.

- Prepare required correspondence, liens, claims and other related documents.

- Perform basic and advanced levels of document review, legal research, and case management.

- Compile, analyze and make conclusions about information from multiple sources.

- Give special attention to the timely processing of events, various legal deadlines, and critical accounting/finance issues.

- Process Intake referral leads from attorneys, insurance adjusters, personal representatives, stakeholders and medical providers.

- Review and research leads regarding potential accident or trauma situations.

- Handle phone inquiries for both demand package issues and from beneficiaries promptly and with courtesy.

- Meet department objective standards for Customer Service, Probate Research, Asset research, Document Review and Intake.

- Complete periodic reports for management when necessary

Required Skills:

- Ability to be careful and thorough about detail including with cite-checking and proofreading skills.

- Ability to work proficiently with Microsoft Office, Word, and Excel.

- Ability to interface with all levels of people both internally and externally in a professional manner

- Ability to work independently to meet objectives.

- Ability to maintain a high level of confidentiality and ethics.

- Ability to function effectively under pressure and manage deadline-oriented project demands and multiple initiatives.

- Ability to multi-task and prioritize effectively.

- Ability to perform the following: lifting, bending, pushing, pulling, stopping, kneeling, reaching, and carrying of light to heavy items (file box).

- Ability to perform well in team environment, to achieve business goals.

Required Education/Experience:

- High School Diploma or GED

- 3 years’ experience working in a professional office environment.

- Basic knowledge of Microsoft Word and Excel.

Preferred:

- Associates degree preferred

- Experience in a Legal office

- Basic knowledge of Microsoft Access

- Medicaid and/or Medicare knowledge

- Bilingual (Spanish & English) a plus

Requirements

 

Job Snapshot

Location US-IA-Des Moines
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Insurance
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Company Overview

The CSI Companies

The CSI Companies and its four divisions provide national staffing solutions by placing top talent in the technology, financial, accounting, healthcare, and other professional industries across the country. The CSI Companies are part of Recruit Global Staffing, active in Asia, Europe, North America and Oceania. Recruit Global Staffing is a leading global HR service provider, part of Recruit Holdings Co., Ltd. To learn more about The CSI Companies, visit thecsicompanies.com. Learn More

Contact Information

US-IA-Des Moines
Snapshot
The CSI Companies
Company:
US-IA-Des Moines
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Insurance
Store Type:

Description

The CSI Companies is currently seeking an Insurance Claims Representative to support one of our healthcare clients in the Des Moines, IA area. This role is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case. CSIORL

Schedule:  Mon-Friday: 8am-4:30pm

Salary:  $15.77

Main Duties & Responsibilities:

- Effectively work, maintain and manage a variety of cases with current and accurate notes.

- May have some training responsibilities for other case workers limited to projects and specific tasks.

- Maintain a daily system of providing timely and accurate information required to move cases through the verification and case management pipeline.

- Verify documents and coordinate health care coverage for patients, including eligibility of benefits.

- Professional interaction with attorneys, insurance adjusters, medical providers, court staff, recipients and family members.

- Negotiate lien settlements per contract guidelines.

- Prepare required correspondence, liens, claims and other related documents.

- Perform basic and advanced levels of document review, legal research, and case management.

- Compile, analyze and make conclusions about information from multiple sources.

- Give special attention to the timely processing of events, various legal deadlines, and critical accounting/finance issues.

- Process Intake referral leads from attorneys, insurance adjusters, personal representatives, stakeholders and medical providers.

- Review and research leads regarding potential accident or trauma situations.

- Handle phone inquiries for both demand package issues and from beneficiaries promptly and with courtesy.

- Meet department objective standards for Customer Service, Probate Research, Asset research, Document Review and Intake.

- Complete periodic reports for management when necessary

Required Skills:

- Ability to be careful and thorough about detail including with cite-checking and proofreading skills.

- Ability to work proficiently with Microsoft Office, Word, and Excel.

- Ability to interface with all levels of people both internally and externally in a professional manner

- Ability to work independently to meet objectives.

- Ability to maintain a high level of confidentiality and ethics.

- Ability to function effectively under pressure and manage deadline-oriented project demands and multiple initiatives.

- Ability to multi-task and prioritize effectively.

- Ability to perform the following: lifting, bending, pushing, pulling, stopping, kneeling, reaching, and carrying of light to heavy items (file box).

- Ability to perform well in team environment, to achieve business goals.

Required Education/Experience:

- High School Diploma or GED

- 3 years’ experience working in a professional office environment.

- Basic knowledge of Microsoft Word and Excel.

Preferred:

- Associates degree preferred

- Experience in a Legal office

- Basic knowledge of Microsoft Access

- Medicaid and/or Medicare knowledge

- Bilingual (Spanish & English) a plus

Requirements

 
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Insurance Claims Representative - Des Moines, IA Apply now