Claims Specialist I, Aflac Group Insurance
Location: Columbia South Carolina
Description: AFLAC is employing Claims Specialist I, Aflac Group Insurance right now, this job will be placed in South Carolina. More complete informations about this job opportunity kindly read the description below. (
Job Number:
00047765
)
Description
Spread Your Wings
We are the duck. We inspire and are inspired, listen and respond, empower our people, give back to our community, and most importantly, celebrate every success along the way. We do it all ...
The Aflac Way
.
Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best known brands. Aflac has been recognized by
Fortune
magazine as one o! f the 100 Best Companies to Work For in America for the fiftee! nth consecutive year in January 2013 and as one of America's Most Admired Companies for the twelfth year in March 2013.
Our business is about being there for people in need. So, ask yourselfâ€"are you the duck? If so, there’s a homeâ€"and a flourishing careerâ€"for you at Aflac.
The Company
Aflac Group
The Location
Columbia, SC
The Division
Aflac Group/Claims
The Opportunity
Claims Specialist I
Principal Duties & Responsibilities
Under immediate supervision and in accordance with established policies and procedures, reviews and processes Wellness, Accident insurance claims based on information submitted by policy holders; determines the nature and validity of claims by reviewing policy status, patient eligibility, and supporting medical and other documentation
Keys claims data while interpreting coding and medical terminology in relation to diagnoses and procedures;! uses multiple core administration databases, systems and subsystems to process and transmit claims for payment or further investigation
Provides prompt customer service to policy holders, providers and other internal company entities regarding claims; documents phone calls in the system and follows-up on issues if needed; contacts insured or other appropriate persons to verify the accuracy and completeness of information on claims forms and related documents, responds to inquiries from policy holders, providers, agents regarding claim status and policy provisions
Provides back-up coverage for other teams as required, maintains databases and prepares and extracts information using software systems; performs various clerical duties as assigned, such as filing, photocopying, typing, maintaining databases and preparing and extracting information using software systems
Performs other related duties as required
Qualifications
Educatio! n & Experience
High school graduate or equivalent and one year! of work experience
Experience and proficiency using Microsoft Office Suite software
Experience with medical terminology is preferred
Positions requiring the use of bilingual skills:
Fluency in Spanish with the ability to translate documents
Job Knowledge & Skills
Knowledge of principles and processes for providing customer and personal services; this includes needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
Knowledge of administrative and clerical procedures an systems such as word processing, managing files and records, and other office procedures and terminology
Skill in giving full attention to what other people are saying; taking time to understand the points being made; asking questions as appropriate
Skill in understanding the implications of new information for both current and future problem solving and decision-making
Skill i! n using mathematics to solve problems
Skill in selecting and using training/instructional methods and procedures when learning new policies, procedures, concepts or products
Core Organizational Competencies
Action Oriented, Adaptability, Customer Focus, Ethics and Values, Integrity and Trust, Listening
The Benefits
Aflac is known for treating our employees exceptionally well. As one of the leaders in the insurance industry, we’re able to offer one of the most comprehensive health benefits packages available in corporate America, including free coverage from one of our pioneering insurance products, the Aflac Cancer policy. Our employees also enjoy a host of other benefits, including advancement opportunities, opportunities for continued education and professional development, merit increases and performance bonuses, profit-sharing 401(k), stock purchase plans, and many more.
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If you were eligible to this job, pl! ease email us your resume, with salary requirements and a resume to AFL! AC.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Wed, 04 Dec 2013 17:54:16 GMT