Claims adjuster Jobs in Topeka, KS

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Benefits & Perks

• Base compensation is only one component of your competitive Total Rewards package
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 401(k) plan matching up to 5%
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Job Summary

The Payment Recovery Correspondent analyzes and determines the corrective action required to administer proper collection procedures for claims that have been previously processed incorrectly for all lines of business and product types, using written and telephone correspondence.

This position is required to work onsite at the Topeka location.

What You'll Do

• Conduct audits of claims processed to assure adherence to processing policies and guidelines.
• Pursue and manage recovery of overpayments and apply recoveries.
• Collaborate between the Claims and the Finance departments to ensure the proper accounting of returned checks, proper addresses for providers, collections of outstanding overpayments, replacement checks, and refunds.
• Generate Collection Letters for all lines of business.
• Research ACES/CSI, eligibility, history, and purged history, to identify the claim(s) that need adjusted upon receipt of an unidentified refund check.
• Create and route CSI/OTIS & Image to other areas for claim adjustments.
• Update the Workday system with the appropriate transactions to close open payments, debits, and credits to keep corporate accounting in balance.
• Respond to telephone and written inquiries in a courteous, timely, and accurate manner for both internal and external customers.

What You Need

Knowledge/Skills/Abilities

• Ability to work independently and as a team member.
• Ability and interest in working accurately with mathematics.
• Strong written and verbal communication skills.
• Must be proficient in the systems used by the department after completion of training.
• Knowledge of multiple lines of business/product types preferred.

Education and Experience:

• High School diploma or equivalent required.
• Minimum one year experience in Claims or BCBSKS Customer Service required.

Physical Requirements

Requires constant and intense concentration to complete job functions with intermittent interruptions. Work is onsite only and requires keying at a P.C. up to 85% of the day.

Compensation

$20.96- $26.20

Non- Exempt Grade 11

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.