Easter Seals Jobs

Title: Claims Representative I (Health & Dental) - FHPS

Location: This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of 3075 Vandercar Way, Cincinnati OH

This position will have on-site training and will require you to be in the Cincinnati, OH office.

Hours: 8 am-4:30 pm EST during training. After the training, you will work an 8-hour shift between 7 am - 5:30 pm EST.

Must have 100% attendance during the first 90 days of training. Start date: 8/12/2024.

The Claims Representative I will be responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

How you will make an impact:

• Learning the activities/tasks associated with his/her role.

• Works under direct supervision.

• Relies on others for instruction, guidance, and direction.

• Work is reviewed for technical accuracy and soundness.

• Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.

• Researches and analyzes claims issues.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Minimum Requirements

• HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications

• Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

• Ability to work from home with hard-wired internet access and a quiet and private workspace strongly preferred.