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27 days old

Intake Claims Rep

Kelly Services
Lombard, IL 60148
**Intake Claims Rep Lombard, IL**



**Contract to hire**



**Pay Rate $16/hr**



**Training will be provided 4-6 weeks. After training is complete, the hours will be 9am to 5:30pm.**



**BASIC FUNCTION** **:**



Under Supervision, this position is responsible for administrative claim setup as well as initial claim review, assisting in claim coding, including but not limited to:



Eligibility assessment, determine coverage amounts, editing member data in the billing systems, policy requirements, Investigates, researches, and diligently obtains required information on all types of claims types and Payment Procedures.





**ESSENTIAL FUNCTIONS** **:**




+ Evaluates and reviews claims to determine coverage amounts, eligibility, identification of beneficiary(ies), policy requirements and payment procedures.

+ Contacts Beneficiary, Employer and/or Broker to notify by telephone or letter and verify questionable information submitted on claims.

+ Creates, reviews and edits member and benefit information including Self-Administered Billing, Self-Administered Billing-Web, Third Party Administrators, spouse and dependent coverages.

+ Updates party records and roles, benefit cases and benefit entitlements as it relates to claims.

+ Completes Intake scripts.

+ Adheres to quality, production, service and departmental guidelines to complete claims with diligent follow ups.

+ Acquire thorough knowledge of all policies, state statutes, regulations, ERISA, and departmental procedures to ensure proper handling or management of claims, while in the role.

+ Proactively identifies inconsistencies or lag in claim information and utilizes effective approaches and resources to obtain clarification or verification.

+ Maintains accurate documentation of activities in claim file in accordance with company practices and procedures.

+ Recommends changes to management to avoid recurring customer inquiries/problems.

+ Provide professional, prompt and accurate customer service to both internal and external customers, effectively and professionally represent the company in all interactions.

+ Adhere to quality, production and departmental guidelines.

+ Communicate and interact effectively and professionally with co-workers, management, customers, etc.

+ Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.

+ Maintain complete confidentiality of company business.

+ Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

+ Identify, research & code the following claim types: Life, Waiver of Premium, Critical Illness/Specified Disease, Accidental Insurance, GAP, Accidental Death, Dismemberment, Permanent and Total Disability (PTD), Accelerated Death Benefits, and Secured Claims.







**JOB REQUIREMENTS** **:**




+ Associates Degree **OR** High School Diploma/GED and equivalent of 1 year of business experience

+ Problem solving and research skills PC proficiency to include Word, Excel, PowerPoint, Outlook and Lotus Notes

+ Customer Service experience.

+ Organizational skills.

+ Ability to handle multiples tasks and priorities effectively

+ Clear and concise verbal and written communication skills.



**Additional Detail:**




+ **We appreciate all our applicants, but we are not able to sponsor now; no C2C or H-1B. No third-party suppliers.**

+ **There is no per diem with this position, and must be able to work on W-2 hourly basis.**

+ **There is no relocation budgeted for this position. If this position requires you to relocate you will be responsible for those costs.**

+ **As your local offices do not support this position, for immediate consideration, please apply online to this posting directly.**

+ **Resumes in MS Word are preferred.**

+ **If you have questions about the position, you may contact the recruiter at** **Leslie.Hesano@kellyservices.com** **; however, your resume must be received via the official posting.**






**Why Kelly** **** **?**


At Kelly
Services , we work with the best. Our clients include 95 of the Fortune
100 companies, and more than 70,000 hiring managers rely on Kelly annually to access
the best talent to drive their business forward. If you only make one career connection today, connect
with Kelly.




**AboutKelly Services** ****




As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people
around the world and have a role in connecting thousands more with work through our global network of
talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .


Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,
Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is
committed to employing a diverse workforce. Equal Employment Opportunity
is The Law.
Posted: 2019-07-29 Expires: 2019-08-29

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Intake Claims Rep

Kelly Services
Lombard, IL 60148

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