Insurance Administrative Solutions
  • 12-Nov-2020 to 30-Nov-2021 (EST)
  • Rome, GA, USA
  • Hourly
  • Full Time

Medical - Dental - Vision - 401K - Basic and Supplemental Life Insurance - Long and Short Term Disability


Location:  Rome, Georgia

JOB SUMMARY: Analyze claims to determine the extent of insurance carrier liability.  Interpret contract benefits in accordance with specific claims processing guidelines.  Receive, organize and make daily use of information regarding benefits, contract coverages, and policy decisions.  Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.  Clear understanding of how various functions within the operation relate to and impact each other.  

Medical Terminology - Health/Insurance - Supplemental Health Insurance Experience - Fast Pace Environment - AWD Experience - Ability to Read and Interpret EOBs

ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary):

  • Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
  • Interpret contract benefits in accordance with specific claim processing guidelines.
  • Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
  • Minimal external contact with providers/agents/policyholders.

EDUCATION/EXPERIENCE:

Associate's degree (AA) or equivalent from two year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.  PC/Windows experience needed.

Insurance Administrative Solutions
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IAS is an Equal Opportunity Employer

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