TEMP BPO Senior Associate

Claims Type: Must have TPA experience, Dental and Commercial Claims
*VBA Experience is preferred-nice to have
Location: Remote US
Hours: Full time Mon-Friday 8 - 5 CT
Type: Long Term Temporary to Direct Hire
* Additional Information: Client will want 3-5 professional references and background screens. No Drug Screen. No CA Located candidates!!!

POSITION SUMMARY:
The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division.
This position is responsible for registering, processing, and adjudicating claims accurately and efficiently.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
 Process all claims for assigned group(s) within ten days of receipt.
 Complete forms for overspecific claims, including, but not limited to, printing EOBs,
pulling claims and copying claims.
 Contact providers and case management company for information regarding problem
claims.
 Print/mail EOBs and claim forms requested by providers and insured members.
 Assist with audits for assigned group.
 Assist with claims processing and overspecific for new or backlogged groups.
 Obtain needed information for subrogation claims and to determine pre-existing
conditions.
 Perform other duties as assigned.

GENERAL EXPECTATIONS:
 Present a positive image of Consociate at all time.
 Provide and promote the delivery of services with a prevailing attitude of respect and
recognition of the personal worth and dignity of every individual whether they are a
customer, co-worker, producer or supervisor.
 Communicate in a clear and concise manner, while also demonstrating receptivity through
active listening.
 Identify and perform work that has not been specifically assigned, as needed.
 Adhere to established safety standards and utilizes proper techniques to avoid work related
injuries.
 Continuously seek opportunities for improvement and suggest ways in which
procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
 Demonstrate a teamwork philosophy by working cooperatively with others inside and
outside the Administration Division.
 Attend required in-service and staff meetings.
 Preserve the confidentiality of all business-sensitive information, including but not limited to
that of insured groups and individuals, employees and applicants.

SERVICE EXPECTATIONS:
 Greets all people in a prompt and courteous manner. Communicates in a warm and
courteous manner, making eye contact and speaking in a tone of voice that matches
words.
 Ask customers what they need and strive to exceed their expectations. Offer and provide
assistance whether or not the request falls within your specific job duties.
 Assists customers through the insurance submission/enrollment experience.
 Respond to customer requests in a timely manner, returning calls promptly and keeping
them informed of delays before they ask.
 Makes decisions based on customer needs, opinions, complaints or suggestions.
 Takes appropriate steps to resolve problems to the customer's or producer's satisfaction.
 Ask customers for their opinions, accepting criticism as an opportunity to improve service.
 Seek opportunities, provide value-added services, and eliminate tasks that do not serve
our customer.
 Remain aware of products and services provided by Dansig and Consociate.
 Project a positive, professional image when working.

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:
 High School Education required.
 Minimum of one to three years of experience working with the public.
Previous insurance billing or customer service background recommended.

PHYSICAL AND MENTAL ABILITIES:
 Ability to perform sedentary work for extended periods of time.
 Ability to utilize personal computer (manual dexterity is required to operate a keyboard),
telephone system, and communicate with a variety of customers.
 Ability to concentrate, meet deadlines, work on several projects during the same period,
and adapt to interruptions.
 The environment in which the incumbent will work requires the ability to concentrate, meet
deadlines, work on several projects during the same period, and adapt to interruptions.