Empower Hiring for Spec Claims Processor-9 at Bengaluru, Karnataka Full Time

Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective, you’ll enjoy the freedom to support causes that matter to you and experience a truly inclusive work environment. Your future starts now.

Reporting to a Team Performance Leader, the Claims Processor is responsible for reviewing and entering health and dental benefit claim forms and receipts that have been submitted by our plan members.

What you will do

This position is responsible for data entering all of the Medical, Dental, Hospital, Drug and Visions claims that are received each day for the Group Benefit Payment Offices and is performed independently. Modification of or deviation from procedures and practices is occasionally required. In this position, the entire claim submission must be reviewed quickly along with all attachments to enter information into an average between 75-150 fields per claim submission.

The information must be entered extremely accurately and efficiently as there are very aggressive quality requirements and productivity target that must be obtained to meet the minimum requirements of the role. For a high percentage of claims, the Claim Processor will be the only person to see the claim submission. If the claim does not automate in the system, a Claims Examiner will use only the information the Claim Processor data entered onto the data entry system for final review/adjudication/payment of the claim. If errors are made in keying or by not following/interpreting the guideline information provided, the claims could be paid incorrectly resulting in overpayment or underpayment to the customers. As a result of services provided or actions taken, this could/would have a considerable impact on external client relations and the company.

80% Data entry, 20% misc. other duties

Work independently to data enter a variety of health, dental, drug, hospital, and vision claims

Review claim attachments and determine which data from this information is applicable

Review complex claims with your team assistant and flag claims requiring further investigation

Adhere to the changing requirements of our Health & Dental Claims policy job aids

What you will bring

Excellent keyboarding skills

Good reading comprehension

Basic PC computer & Microsoft Office skills

A minimum of 1 year of cumulative work experience

College Degree is an Asset

Ability to excel within a Purpose/Vision driven environment

More than 6 months and up to and including one year experience required

COVID

COVID vaccinations are required for all individuals working in any Empower office location or who participate in in-person meetings and/or business activities, subject to state and local laws. Most Empower positions may require on-site presence on an occasional or regular basis and associates will need to provide proof of COVID vaccination, subject to state and local laws. Associates unable to comply with the COVID vaccination requirement due to medical reasons may request an accommodation.