Claims Administrator in Rancho Cordova, CA at Volt

Date Posted: 12/4/2019

Job Snapshot

Job Description

Volt has an Immediate Opening for a Claims Administrator in Healthcare, located in Rancho Cordova. 

The Claims Administrator will provide highest level of service to clients, providers and members by handling service requests, addressing questions/issues and supporting claims processors, adjusters, and supervisors. Provide administrative support to designated PPI staff and leadership. 

Essential Functions 

-Research, document and accurately respond to internal/external administrative claim inquiries and service requests. 
-Opens, reviews and sorts physical mail and e-mail to determine action needed. Identifies, creates and sends written responses, or re-directs mail to correct addressee, as appropriate. Effectively positions messages in a manner that is supportive of divisional and corporate strategies to ensure appropriate resolutions, as needed. 
-Generates correspondence and reports from rough drafts, edits grammar, punctuation or spelling as needed. 
-Develop and maintain data repositories to support tracking, trending and reporting of claims and administrative activity to ensure the accuracy, consistency and integrity of information. 
-Communicates and coordinates with internal business partners to ensure that manually-generated Claims collateral is accurate, complete and compliant, and that it meets client expectations. Identifies, researches and elevates issues to leadership when appropriate. 
-Performs confidential administrative functions such as generating reports to support compliance. 

Job Specifications 

Typically has the following skills or abilities: 

-One to two years work experience in an administrative support function, in a Healthcare or Insurance background
-Computer proficiency including Microsoft Office Word, Excel, SharePoint and Adobe Acrobat Pro. 
-Demonstrated ability to identify and resolve minimally to moderately complex problems. 
-Strong verbal and written communication skills to effectively communicate with internal and external business partners, including all levels of employees. 
-Excellent time management skills, with the ability to work independently and in a team environment. 
-Ability to regularly exercise discretion and independent judgment in the performance of his/her job duties. 
-Demonstrated ability to learn, support change management, assimilate new information quickly and successfully perform multiple tasks in a fast-paced environment.
-Ability to work within multiple complex systems to extract information needed to support business partners and customers.

Volt is an Equal Opportunity Employer.