Description and Requirements
* Analyze, validate and process transactions as per Desktop procedures (L3 & L4)
* Analyze and research all discrepancies.
* Research & Investigate and resolve outstanding items
* Determine eligibility and applicable plan provisions while meeting timeliness goals
* Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email
* Establish action plans for each file to bring claims to resolution
* Utilize internal and external specialty resources to maximize impact on each claim file
* Utilize Intellis and ACS (SIR) to update and maintain accurate data record
* Use PC programs to increase productivity and performance
* Ensure that the assigned targets are met in accordance with SLA and Internal standards
* Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence
* Work as a team member to meet office goals to obtain disability’s vision while demonstrating core values and meeting key measures.
* Ensure adherence to established attendance schedules
* Sedentary work - involves sitting most of the time
* Close visual acuity - viewing a computer terminal and extensive reading
* Talking - expressing or exchanging ideas by means of the spoken word