The Claims Specialist will report to the Claims Supervisor in the CDB Operations Department. This role is responsible for driving compassion, confidence and trust while delivering one superior quality experience at a time. This role requires attention to detail to ensure we are processing the claim accurately to ensure a great member experience based on the claim form they’ve submitted for reimbursement. • Provide excellent customer service to every member. • Adapt quickly in a fast-paced and time sensitive environment. • Processes accurate claim data to ensure members receive correct reimbursements. • Goal orientated, sense of urgency to complete tasks. • Ability to organize and prioritize work to meet deadlines. • Utilizes available tools and resources to make informed decisions while processing claims. • Other duties as assigned. Years of Experience: • Claims experience preferred Degree: • High School Diploma, GED or college degree Certification: N/A Skills & Abilities: • Excellent analytical skills with a proactive nature • Strong organization skills with a drive to meet deadlines • An affinity for accuracy and efficiency • Proficiency in Microsoft Excel, Word (including mail merge) and Outlook • Strong verbal and written communication skills • An aptitude for prioritization and multi-tasking • Strong collaboration skills • A drive to learn and apply new concepts quickly. Other Requirements: • Ability to work overtime in peak season • Prolonged periods of sitting at a desk and working on a computer
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