[Hiring] Claims Technician @Pearl Interactive Network LLC

Role Description

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, ensuring professionalism, precision, and an appropriate sense of urgency. Additionally, the Claims Technician will work closely with the Sr. Payment Specialist to ensure all deliverables are accomplished.

Qualifications

• 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

Requirements

• 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.

Benefits

• 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.

Physical Requirements

• 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.
• Regularly required to sit for prolonged periods of time.
• Occasionally lift and/or move up to 10 pounds.
• Specific vision abilities required include close vision, distance vision, depth perception, and the ability to adjust focus.