직무 설명 및 자격 요건
· 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