Stop Loss Claims Clerk

Claims Clerk

Full TimeSME / Specialist

Oakbrook Terrace, IL, US

Salary Range : $50,500.00 To $57,500.00 Annually

The Claims Clerk will be responsible for accurate, timely screening and distribution of incoming electronic claims correspondence. This role will aid the Analysts in timely processing of the claims and help secure a manageable turnaround time for the entire Claims Department. This position will report to the Claims Manager.

Essential Elements

• Manage the Secure File Transfer Portal (SFTP) site ensure all reporting received is processed in a timely manner
• Download and pivot reports from Power BI, to locate all possible medical and prescription claims.
• Identify and review claims data ensuring data integrity
• Distributing claim requests for processing
• Convert the PDF claims received into an Excel Template for the Claims Analyst to upload and process
• Additional duties as assigned

Requirements

Education and Certifications

Associates degree or commensurate experience required

Experience

Excel, Microsoft Office Suite, Power BI, Clerical functions

Travel Required

May need to travel to the home office quarterly

Hybrid workplace