Claims Processor

The Claim Processor's primary responsibility is the timely and accurate processing of claims and prior approvals. The Claim Processor ensures compliance with client's program specifications and ACB policies and procedures. Specific Claim Processor duties may be dependent on the client(s) they support. Claim Processors must effectively manage their time and workload to ensure all service levels are maintained (i.e. claims and prior approvals are processed accurately, communications related to claims and prior approvals are thorough and that processing occurs within the contractual turnaround time). The Claim Processor may also assist with customer service via telephone, email, and / or fax, special projects and the preparation of reports (routine and / or ad hoc).

DUTIES

Process claims and prior approvals accurately and in a timely manner. Processing may include the measurement of ads, verification of advertising rates based on research data or actual invoices, performance of mathematical calculations, comparing advertising content to client's program guidelines to ensure compliance, preparation of input sheets and / or entering audit results into the client's processing database or web application.

QUALIFICATIONS

High School Diploma or equivalent certificate. Basic PC knowledge, including Microsoft Office products; Outlook, Word, and Excel. General mathematical, spelling and grammar skills as demonstrated by successful completion of pre-employment tests. Basic understanding of accounting principles. A minimum of one year work experience is desired Previous experience in a customer service or clerical production environment is preferred. Strong organizational and time management skills are needed to manage multiple tasks / priorities. M-F 8 : 00 - 4 : 15.