Claims Administrative Support

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

The Claims Administrative Support is responsible for handling Dental, Vision, and/or hearing claims received from providers and health plan members in accordance with policies, procedures, and guidelines as outlined in Avesis contractual agreements. The Administrative Support will research, manually enter, route claims to the appropriate queues, create and return letters to the sender. The Claims Administrative Support productive output is guided by performance objectives that specify the volume of claims to be researched, manually entered, routed, or returned to sender on an hourly basis. Administrative Support team members must be able to meet accuracy, quality, and productivity standards as determined by Avesis.

Competencies:

Functional:

• Provide administrative/clerical support to the Claims department.
• Avesis systems and applications for claims data entry
• Maintaining standardized productivity, accuracy and quality performance standards for documents processed.
• Review scanned documents in comparison to paper copies and making edits as appropriate where the scanning/data entry process produced inaccurate or illegible results, then routing completed documents to the appropriate location
• Send correspondence to providers and/or members advising the reason their claim could not be processed.
• Attendance in team meetings related to claims processing reviews and updates for company policies and procedures, audit findings, and other related communications.
• Ability to meet or exceed quality, accuracy, and production standards as determined by Avesis.
• Other duties as assigned

Core:

• Proficient in Adobe, Microsoft Office Suite, specifically Word and Excel and other window-based applications
• Minimum 1 years of Data Entry experience preferred
• Ability to read, write, and communicate at a professional level
• Effective time management and organizational skills
• Strong analytical and problem-solving skills
• Ability to multi-task, work in a fast-paced environment and detail oriented
• Attention to detail is a must
• Ability to work overtime as needed
• Ability to handle repetitive tasks efficiently without losing focus.
• Familiarity with HIPAA (Health Insurance Portability and Accountability Act

Behavioral:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. 
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Qualifications:

• Minimum 1 years of Data Entry experience preferred
• High school diploma or equivalent required.

• Minimum 1 years Administrative/Clerical background, preferably in a Healthcare environment preferred
• Familiarity with medical terminology preferred

• Internet & Workspace: A reliable internet connection (25 MBPS upload/50 MBPS download speed) and an appropriate workspace are essential for success in this remote role. 

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avēsis, We See You.  We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic.  At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients.  We focus on recruiting, training and retaining those individuals that share similar goals.  Come Dare to be Different at Avēsis, where We See You!