Remote claims processor

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timePosted 7 days ago location United States salarySalary undisclosed
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Job Description

  • Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include:
  • investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels.
  • May debit or credit customer's accounts as appropriate, process charge backs or update customer regarding pending claims.
  • Researches and resolves other general customer account inquiries as appropriate.
  • The incumbent's primary interaction is through indirect customer functions.
  • Typically performs back office functions such as, service support, claims resolution, ticket ordering and judgment claims.
  • Maintains internal operational and financial controls and ensures that they are observed for all assigned cases.
  • Ensures that all cases are resolved in compliance with industry regulations and bank procedures, integrity levels of the department's case management system and financial controls.
  • Works within a team environment.
  • Associate is expected to meet or exceed department level benchmarks for productivity and quality.
  • May provide support and training to other analysts within the department.
  • Has thorough knowledge of the Claims Analyst function and handles more complex cases which require analytical and problem resolution skills.
  • At least 1 year of experience preferred.

Required Skills:

  • A minimum of 1 year of experience in a Claims environment •
  • In-depth experience and knowledge of the chargeback process •
  • Excellent customer service skills with the ability to diffuse difficult customer challenges and possess excellent problem solving skills
  • Excellent written and oral communication skills

Desired Skills:

  • Fraud or Billing Dispute Claim processing experience

healthcare,claims,Fraud ,Billing Dispute Claim processing,ATM claims,banking