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Sr Claim Benefit Spec

Entry-level at Aetna

Sr Claim Benefit Spec

Entry-level at Aetna

  • LocationPlymouth, UK
  • Position levelEntry-level
  • Job period iconFull-time employment
  • Application deadline iconApply by 03 Nov, 2018
  • Start date iconStart date:
  • Visa iconVisa Sponsor
  • CompetitiveCompetitive

Plymouth, Minnesota

POSITION SUMMARY

Review all types of medical and dental claims for accuracy
Mentor new claim trainees after formal training to provide guidance and advice

FUNDAMENTAL COMPONENTS:

Coach trainee's and provide ongoing feedand act as a SME in addressing processing claims 35%
Audit trainee claims 50%
Emails and follow-up 10%
Other, reports etc. 5%

BACKGROUND/EXPERIENCE desired:

Proficient in all Meritain claims platforms and/or products
Successful demonstration of Coaching Skills
Minimum 1 year claims experience
Audit experience
Dependability and follow through are essential
Experience in a production environment is helpful
Must thrive in a team environment

EDUCATION

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Claims/Claim processing - Medical or Hospital - ACAS/1-3 Years
Functional - Claims/Claim processing - Dental/1-3 Years
Functional - Customer Service//1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Computer Operations/System and Console Operations/1-3 Years/End User
Technical - Aetna Applications//1-3 Years/End User

DESIRED SKILLS

General Business/Communicating for Impact/FOUNDATION

Telework Specificati

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