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Job Requirements of Claims Senior Representative Customer Advocacy:
-
Employment Type:
Contractor
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Location:
Tampa, FL (Onsite)
Do you meet the requirements for this job?
Claims Senior Representative Customer Advocacy
Pyramid Consulting, Inc
Tampa, FL (Onsite)
Contractor
Immediate need for a talented Claims Senior Representative Customer Advocacy. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-76331
Pay Range: $17.50 - $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof J2W:CB3
Job ID:25-76331
Pay Range: $17.50 - $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Delivers specific delegated Claims tasks assigned by a supervisor.
- Examines and processes paper claims and/or electronic claims.
- Determines whether to return, pend, deny or pay claims within policies.
- Determines steps necessary for adjudication.
- Follows established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues.
- Settles claims with claimants in accordance with policy provisions.
- Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claim.
- Interacts with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries.
- Completes day-to-day tasks without immediate supervision, but has ready access to advice from more experienced team members.
- Tasks involve a degree of forward planning and anticipation of needs/issues.
- Key Skills: Claims
- Athena
- Medical Billing
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof J2W:CB3
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