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Location

Parsippany, NJ | United States

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Job description

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI:

• Culture: Our Core Values, rooted in integrity, passion, and enthusiasm, define how we treat our employees as valued partners.
• Career Development: Benefit from robust internships and internal training programs for advancement within our organization.
• Comprehensive Benefits: Enjoy a generous benefits package, including 4 weeks paid time off in your first year, 10 paid holidays, and coverage for Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
• Positive Work Environment: We believe in fostering a workplace where employees find joy in their daily tasks, are equipped with the resources needed, and manage manageable caseloads.

About the Role - Claim Clerk:

As a Claim Clerk at CCMSI, you play a pivotal role in supporting claim personnel and team members through general clerical duties. Your responsibility extends to maintaining the quality of claim service in alignment with CCMSI clients and Corporate Claim Standards.

Key Details:

• Work Environment: This is an In-Office position, promoting a collaborative work setting. Hybrid or remote work options are not available.

• Work Hours: Monday through Friday, 8 am to 4:30 pm EST, adhering to CCMSI's 7.5-hour workday policy.

• Compensation: Competitive hourly rate

Responsibilities

• Match mail for assigned accounts.
• Follow up on bills.
• File claim mail and related documents.
• Set up designated claim files and complete all set up instructions, as requested.
• Back-Up for Receptionist
• Summarize correspondence and medical records in the claim log notes as wells as file it in the appropriate claim, as directed by claim staff.
• Retrieve closed files and re-file in storage.
• Maintain claim files in storage.
• Photocopy claim documents, as needed.
• Return provider calls or other calls, as directed.
• Provide support to claim staff on client specific teams.
• Compliance with service commitments as established by the team.
• Performs other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required.

1. Excellent Oral and Written Communication Skills: Proficiently convey complex information with clarity and precision, fostering effective communication both internally and externally. Demonstrate strong writing skills for documentation and correspondence.
2. Initiative to Set and Achieve Performance Goals: Proactively set challenging performance goals, showcasing a drive to excel and a commitment to continuous improvement.
3. Ability to Cope with Job Pressures in a Constantly Changing Environment: Thrive in dynamic work environments, adept at handling high-pressure situations with resilience and adaptability.
4. Knowledge of All Lower Level Claim Position Responsibilities: Comprehensive understanding of lower-level claim processes, demonstrating proficiency in each aspect.
5. Detail-Oriented and Self-Starter with Strong Organizational Abilities: Meticulous attention to detail and a proactive self-starter with a proven track record of organizational prowess.
6. Ability to Coordinate and Prioritize: Exceptional coordination and prioritization skills, ensuring seamless workflow management.
7. Flexibility, Accuracy, Initiative, and the Ability to Work with Minimum Supervision: Demonstrated flexibility and accuracy coupled with a proactive initiative, enabling autonomous and effective work.
8. Discretion and Confidentiality Required: Uphold the highest standards of discretion and confidentiality in handling sensitive information.
9. Reliable, Predictable Attendance Within Client Service Hours: Consistently maintain reliable and predictable attendance within client service hours, ensuring a steadfast commitment to meeting client needs and organizational objectives.
10. Responsive to Internal and External Client Needs: Proactively address the needs of both internal and external clients, fostering positive relationships through prompt and effective communication.

Education and/or Experience

High School diploma or equivalent required.

Computer Skills

Proficient in Microsoft Office

Certificates, Licenses, Registrations

None required

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Object Handling Categories

Work requires the ability to lift/carry objects routinely as follows:

• Light Lifting: No lifting of objects weighing more than 15 pounds on a regular basis.

Other Physical Demands

• Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity

• Work requires the ability to sit or stand up to 7.5 or more hours at a time

• Work requires sufficient auditory and visual acuity to interact with others

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.

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Salary