Job Responsibilities:
The role of Claims Examiner provides operational support for activities associated with the processing and adjudication of claims to include: 1) Data entry of claims ensuring accurate and timely payment to meet or exceed customer service level agreements 2) Properly adjudicate claims based on knowledge of covered benefits, insurance and provider contracts 3) Identify and resolve issues surrounding pended claims according to established procedures.
The role of the Customer Service Representative provides operational support for activities associated with the EOB and adjudication of claims to include: 1) Excellent communication skills 2) Data entry skills 3) Knowledge of covered benefits, insurance and provider contracts 4) Identify and resolve benefit issues related to the call
Required Skills:
Knowledge of claims paying systems preferred: AMISYS, NASCO, Facets, EZ-Cap, Rims, Qcare, Xcelys, Nexgen, QNXT, ITS, WGS, Call Care Browser and Diamond.
Our assignments are located nationwide and may require 100% travel. Our projects can last anywhere from 2 months to 2 years. Our Associates stay onsite for 6-8 weeks at a time, and are then given an opportunity to go home for up to one week. Associates continue that cycle throughout the project's duration. Our client's pay all of the travel expenses including airfare, hotel, rental car and a generous per diem. There can also be opportunities for overtime.
Minimum Educational Requirements:
High School Diploma
More about Dell Perot Systems
Dell Perot Systems is a unit of Dell Services, a new business organization formed by the acquisition of Perot Systems by Dell. Dell Services will develop and deliver a best-in-class suite of end-to-end IT services and business solutions that reduce IT complexity and lower costs for customers. The acquisition extends Dell Services into hosting, consulting, applications and business-process outsourcing, and expands Dell’s existing managed and modular services. Dell Services’ customers span global corporations, government agencies, healthcare and educational institutions, and small and medium enterprises.
Dell Services will be one of the world’s largest technology services organizations with more than 41,000 experienced and skilled technology and business services professionals and revenue of approximately $8 billion from enhanced services. Dell Services’ values are centered on acting with integrity at all times, exhibiting a passion for serving our customers and displaying a strong work ethic while working effectively as a team. Our employees are committed to winning and to our company’s success.
Dell Services is committed to Equal Employment Opportunity. It is
the policy of Dell Services to encourage and support equal
employment opportunity for all associates and applicants for
employment without regard to sex, race, color, ancestry,
religious creed, national origin, pregnancy, physical disability,
mental disability, medical condition, age, marital status,
political affiliation, sexual orientation, disabled veteran or
Vietnam era veteran status.
www.perotsystems.com
| Claims Examiners / Customer Service Representatives-Travel Details | |
|---|---|
| Company: | Dell Perot Systems |
| Employment Type: | Contractor |
| Relocation Covered: | False |
| Contact: | Carolita Lozano |
| Fax: | 1 877-711-2774 |
| Email: | |
| Education Required: | None |
| Experience Required: | At least 1 year(s) |
| Travel Required: | Road Warrior |
