Claims Operations Service Specialist

Job description

Claims Operations Service Specialist Job Summary: The position performs duties in support of the Claims business unit goals and objectives, as well as develops processes to increase the effectiveness of the operations. This involves duties that ensure compliance with government regulations and banking accuracy. In addition, this position produces statistical reports along with technical assistance in identifying systems issues. When systems issues have been identified, participates in testing business and functional processes along with recommendations for solutions to the identified issue. Job Duties: Quality review of new vendor set up (tracking of required forms and fields) for correctness and completeness to generate payments. Process levies against vendors and child support liens. Track over payments reimbursement from vendors. Claims accounting for overpayments. Research unidentified recoveries. Produces moderately complex reports regarding claims data to determine performance trends. Reports data to regulatory agencies. Develop functional expertise with reporting solutions. Works with Insurance Accounting, Corporate Banking and Finance to reconcile and post money recoveries...