MBPS
Insurance
ClaimsSeniorAssociate
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“Claims Senior Associate at MBPS. Conduct interviews with claimants. Gather information on work ability, hobbies, functional level, and other income”
What You'll Achieve.
Provide high-quality financial and administrative services; Effectively managing these cases; Ensuring our clients receive timely and accurate benefits
Industry & Context.
Apply critical thinking and problem-solving skills
Fixed night shift
What They're Looking For.
Must Have
Bachelor's degree in any field, At least one year of relevant work experience in a professional setting, Experience in back-office operations or administrative roles, Familiarity with office management tasks, Data entry, Document handling, Providing general support to ensure efficient office operations, Amenable for fixed night shift
Nice to Have
Experience in the Navigator system, Background in medical-related courses, Call handling experience, Claims processing experience, Ability to read medical notes, Understand prescriptions, Familiar with medical terms and abbreviations
What You'll Do.
Conduct interviews with claimants
Gather information on work ability
Communicate with stakeholders
Refer claims to a Permanent Specialist
Request and evaluate medical documentation
Prepare correspondence for claimants and other stakeholders
Coordinate with LTD Case Managers
Permanent Specialists
How You'll Work.
Team & Collaboration
Communicate with stakeholders such as plan sponsors, doctors, and pharmacy providers; Coordinate with LTD Case Managers, Permanent Specialists, and KW TD65 SDA for any inquiries
Communication Scope
Effective communication skills, both verbal and written; Ability to clearly convey information and ideas to diverse audiences
Full Job Description
_We’re looking for a**Claims Senior Associate** to join our Insurance Operations team at MBPS. In this role, you will have the opportunity to provide high-quality financial and administrative services to a select group of complex and challenging cases. By effectively managing these cases, you will play a vital role in ensuring our clients receive timely and accurate benefits, thus contributing directly to our mission of delivering exceptional service and support. _ **Position Responsibilities:** * Conduct interviews with claimants to gather information on work ability, hobbies, functional level, and other income. * Communicate with stakeholders such as plan sponsors, doctors, and pharmacy providers as necessary. * Refer claims to a Permanent Specialist if concerns arise following the telephone interview. * Request and evaluate medical documentation from claimants' doctors to review updates on treatment and condition. * Prepare correspondence for claimants and other stakeholders, and coordinate with LTD Case Managers, Permanent Specialists, and KW TD65 SDA for any inquiries. **Required Qualifications:** * Open for fresh graduates, though preference will be given to candidates with at least one year of relevant work experience in a professional setting. * Candidates with experience in back-office operations or administrative roles are highly desirable. This includes familiarity with office management tasks, data entry, document handling, and providing general support to ensure efficient office operations. * A bachelor's degree in any field is required. * Amenable for fixed night shift. **Preferred Qualifications:** * Candidates with experience in the Navigator system and a background in medical-related courses are preferred. * The team favors candidates with call handling and claims processing experience or those who can read medical notes, understand prescriptions, and are familiar with medical terms and abbreviations. * Demonstrates effective communication skills, b
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