All isolved Benefit Services associates contribute to a positive work environment that is solution oriented. They work within their teams while respecting the individual and treating each person they come in contact with as "the single most important person in that moment". They go to the person that can affect a change and are committed to honest and ongoing communications.

BRIEF STATEMENT OF THE PURPOSE OF THIS POSITION:

Processes claims and provides customer service via phone, fax, and e-mail. Enters data to fulfill the needs of clients and participants. Position requires access to electronic PHI.

PRIMARY RESPONSIBILITIES OF THIS POSITION:

1. Prepare claims

2. Adjudicate claims

3. Administer claims

4. Prepare and file incoming faxes

5. Substantiate debit card claims

6. Create debit card communication

7. Create pend/denial communication

8. Document customer inquiries and follow-up as needed

9. Create and update client specific notes

10. Provide client reporting as needed

11. Scanning/Indexing

12. Process any change requests regarding company and/or employee contact information (name, addresses, phone, fax, e-mail, etc.)

13. Maintain records of work completed

14. Other duties as directed by Fringe Benefits Management

EDUCATION AND EXPERIENCE:

Three to six months related experience and/or training and 2 years customer service experience

Ability to read, and interpret business communications

Ability to write business correspondence

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

While performing the duties of this job, the employee is regularly required to sit, stand, walk, talk and hear. The employee is required to use hands. Specific vision abilities required by this job include close vision for written work and PC use. The noise level is usually fairly quiet.

DISCLAIMER: The lists under Essential Functions and Additional Responsibilities are not exhaustive, but are merely the most accurate lists for the current job. Management reserves the right to revise the job description and to require that other tasks be performed when the circumstances of the job change.