Experienced Claims Customer Service Coordinator – Claims Adjudication and Customer Inquiry Resolution
**Rewritten Job Description:**
Join arenaflex as a Claims Customer Service Coordinator
At arenaflex, we're committed to delivering exceptional customer service and providing innovative solutions to our customers. As a Claims Customer Service Coordinator, you'll play a vital role in resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. If you're passionate about delivering outstanding customer experiences and have a strong background in claims processing, we want to hear from you!
About arenaflex
arenaflex is a leading provider of innovative solutions and services to the healthcare industry. With a rich history spanning over seven decades, we've established ourselves as a trusted partner to our customers, employees, and the communities we serve. Our commitment to excellence, diversity, and inclusion has earned us a reputation as a top employer in the region. We're proud to be a strong supporter of our veterans and offer a range of benefits and opportunities to help them succeed in their careers.
Key Responsibilities
- Distribute daily work to employees, track workload and employee performance, and make decisions necessary to ensure all processing expectations and team goals are met.
- Respond accurately and timely to inquiries from team members, including management, concerning customer inquiries, claims adjudication, appeals, and other technical issues.
- Investigate and initiate resolutions to complex problems.
- Authorize payment recovery, claim payments, or make claim rejections based on documented information and provisions of state or federal law.
- Identify issues with procedures and processes and provide feedback to management on changes and development.
- Train new employees and introduce new material to all employees.
- Develop, update, and maintain procedural manuals.
- Serve as liaison with other departments to address claim, system, and quality issues.
- May perform some testing functions and attend/participate in meetings as needed.
Qualifications
To be successful in this role, you'll need:
- 3 years of customer service experience and 1 year of claims or appeals processing experience OR a Bachelor's Degree in lieu of work experience.
- Excellent verbal and written communication skills.
- Strong customer service skills.
- Proficient spelling, punctuation, grammar, and basic business math.
- Ability to handle confidential or sensitive information with discretion.
- Knowledge of claims processing procedures.
Skills and Competencies
To excel in this role, you'll need to possess:
- Strong analytical and problem-solving skills.
- Excellent time management and organizational skills.
- Ability to work in a fast-paced environment and prioritize tasks effectively.
- Strong communication and interpersonal skills.
- Ability to adapt to changing priorities and deadlines.
Career Growth Opportunities and Learning Benefits
At arenaflex, we're committed to helping our employees grow and develop their careers. As a Claims Customer Service Coordinator, you'll have opportunities to:
- Develop your skills and knowledge in claims processing and customer service.
- Take on new challenges and responsibilities as you grow in your role.
- Participate in training and development programs to enhance your skills and knowledge.
- Collaborate with cross-functional teams to drive business results and improve processes.
Work Environment and Company Culture
As a Claims Customer Service Coordinator, you'll work in a dynamic and fast-paced environment with a team of dedicated professionals. Our office is located at 4101 Percival Road, Columbia, SC 29203, and we offer a range of benefits and perks to support your well-being and success, including:
- Subsidized health plans, dental, and vision coverage.
- 401K retirement savings plan with company match.
- Life insurance.
- PTO and paid holidays.
- On-site cafeterias and fitness centers.
- Wellness program and healthy lifestyle premium discounts.
- Tuition assistance.
- Service recognition and employee assistance programs.
Compensation and Benefits
We offer competitive compensation and benefits packages to our employees, including:
- Salary range: $45,000 - $60,000 per year.
- Bonuses and incentives for meeting performance targets.
- Opportunities for career advancement and professional growth.
How to Apply
If you're passionate about delivering exceptional customer service and have a strong background in claims processing, we want to hear from you! Apply now by clicking the link below:
Equal Employment Opportunity Statement
arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. If you need special assistance or an accommodation while seeking employment, please e-mail
[email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request.
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