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Claims Specialist

Role overview

Responsibilities

  • Daily claim processing.
  • Accurately process all FSA claim types.
  • Determine eligibility by utilizing available resources.
  • Ensure priority of workload is followed and turnaround times are met.
  • Properly process claim appeals.
  • Troubleshoot software issues accordingly.
  • Assist with other operational functions.
  • Coordinate with other departments when appropriate.
  • Assist Claims Supervisors with projects as assigned.
  • Work with Claims Supervisors to develop new processes and procedures.
  • Continuous improvement approach to work.
  • Communicate changes needed for processes.
  • Develop and update procedures as needed.
  • Promote continuous learning and sharing of knowledge.

Key facts

Other skills

  • Detail Oriented
  • Troubleshooting (Problem Solving)
  • Communication
  • Teamwork

About the company

WEX logo

WEX

WEX (NYSE: WEX) is the global commerce platform that simplifies the business of running a business. WEX has created a powerful ecosystem that offers seamlessly embedded, personalized solutions for its customers around the world. Through its rich data and specialized expertise in simplifying benefits, reimagining mobility and paying and getting paid, WEX aims to make it easy for companies to overcome complexity and reach their full potential. For more information, please visit www.wexinc.com.

Company details

Company typeXLarge
Company size5001 - 10000

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Job description

The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules. A Claims Specialist should be prepared to work in a detail oriented and fast paced environment with a high level of accuracy.

Essential Duties:

  • Daily claim processing.

  • Accurately process all FSA claim types.

  • Determine eligibility by utilizing available resources.

  • Ensure priority of workload is followed and turnaround times are met.

  • Properly process claim appeals.

  • Troubleshoot software issues accordingly.

  • Assist with other operational functions.

  • Coordinate with other departments when appropriate.

  • Assist Claims Supervisors with projects as assigned.

  • Work with Claims Supervisors to develop new processes and procedures.

  • Continuous improvement approach to work.

  • Communicate changes needed for processes.

  • Develop and update procedures as needed.

  • Promote continuous learning and sharing of knowledge.

The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX's total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the "About Us" section.

Pay Range: $17.00 - $22.50

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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