Medical Claims Specialist

Looking for a new job to start the New Year? Kelly has partnered with a premier insurance company that is located in Galstonbury, CT.Medical Claims Specialist -Pay for this Claims Specialist position is 23 - 25 per hourAssociate Degree preferredSummary: Responsible for working in a fast-paced environment and having strong interpersonal and communication skills, attention to details, outstanding ability to multi-task and prioritize, and strong analytical skills. Performs administrative tasks related to client health premiums and out of pocket medical expenses, interact with clients to provide information in response to inquiries about products and services, and handle and resolve complaints by performing the following duties.Duties and Responsibilities include the following.Processes or adjust medical insurance claims in accordance with policies and procedures.

Answers phones and respond to client inquiries related to payments made on their behalf to medical providers.

Answers phones and responds to medical provider inquiries related to payments made or due to their office on their behalf of program clients.

Makes outgoing calls to medical providers and insurance companies.

Responsible for having the ability to read explanation of benefits and healthcare terminology.

Identifies, researches, resolves claim issues, and requests for additional documentation.

Promotes teamwork and service delivery success.

Ensures contractual performance guarantees related to payment processing timeliness and accuracy are met.

Ensures contractual performance guarantees related to various means of client communications are met such as phone, email, and mail.

Processes medical payments for clients.

Assists in the client appeals process.

Creates and updates financial batch records for processing by accounting.

Audits payment files and outgoing payments and checks accuracy of figures calculation.

Apply today for this Mediacl Claims Specialist positionsend resume to kathy sheehkm@kellyservices.com or call me direct at 860-996-8377#CB#P1You should know: Your safety matters! Vaccination against COVID-19 may be a requirement for this job in compliance with current client and governmental policies. A Kelly recruiter will confirm and share more details with you during the interview process.Why Kelly ® ?As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.About Kelly ®At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center.

Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.