Health Claims Processors WFH

Job Description

About Conduent

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.

You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Job Description

Candidates must be at least 18 years of older with a HS Diploma/GED

Candidates must be willing to complete and pass a background check

Job Track Description:

  • Performs business support or technical work, using data organizing and coordination skills.
  • Performs tasks based on established procedures.
  • In some areas, requires vocational training, certifications, licensures, or equivalent experience.

General Profile

  • Expands skills within an analytical or operational process.
  • Maintains appropriate licenses, training, and certifications.
  • Applies experience and skills to complete assigned work.
  • Works within established procedures and practices.
  • Works with a moderate degree of supervision.

Functional Knowledge

  • Has developed skills in a range of processes, procedures, and systems.

Business Expertise

  • Integrates teams for the best outcome and achievement of company goals.

Impact

  • Impacts a team, by example, through the quality service and information provided.
  • Follows standardized procedures and practices.
  • Receives regular, but moderate supervision and guidance.

Leadership

  • Has no supervisory responsibilities.
  • Manages own workload.

Problem Solving

  • Ability to problem solve without supervisory approval.
  • Evaluates and selects solutions from established operating procedures.

Interpersonal Skills

  • Exchanges information and ideas effectively.

Responsibility Statements

  • Captures and validates more complex data.
  • Pre-adjudicates documents and corrects data.
  • Researches and examines issues and ensures information is available for next steps.
  • Conducts extra searches to extract accurate data and inputs the same.
  • Completes assignments using multiple source documents to verify data.
  • Follows up on pending research documents.
  • Returns electronic data forms to the customer for additional information.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

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