[Remote] Claims Specialist
Note: The job is a remote job and is open to candidates in USA. WEX is a company that offers various Employer benefit plans, and they are seeking a Claims Specialist to review and process claims according to IRS regulations and specific employer plan rules. The role requires attention to detail and the ability to work in a fast-paced environment while ensuring accuracy in claim processing.
Responsibilities
- Daily claim processing
- Accurately process all FSA claim types
- Determine eligibility by utilizing available resources
- Ensure priority of workload is followed and turnaround times are met
- Properly process claim appeals
- Troubleshoot software issues accordingly
- Assist with other operational functions
- Coordinate with other departments when appropriate
- Assist Claims Supervisors with projects as assigned
- Work with Claims Supervisors to develop new processes and procedures
- Continuous improvement approach to work
- Communicate changes needed for processes
- Develop and update procedures as needed
- Promote continuous learning and sharing of knowledge
Skills
- Properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules
- Prepared to work in a detail oriented and fast paced environment with a high level of accuracy
- Daily claim processing
- Accurately process all FSA claim types
- Determine eligibility by utilizing available resources
- Ensure priority of workload is followed and turnaround times are met
- Properly process claim appeals
- Troubleshoot software issues accordingly
- Assist with other operational functions
- Coordinate with other departments when appropriate
- Assist Claims Supervisors with projects as assigned
- Work with Claims Supervisors to develop new processes and procedures
- Continuous improvement approach to work
- Communicate changes needed for processes
- Develop and update procedures as needed
- Promote continuous learning and sharing of knowledge
Benefits
- Health, dental and vision insurances
- Retirement savings plan
- Paid time off
- Health savings account
- Flexible spending accounts
- Life insurance
- Disability insurance
- Tuition reimbursement
Company Overview