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Claims Analyst I

Company: Disability Solutions
Location: Fort Worth
Posted on: April 3, 2024

Job Description:

Location:Calmont Operations BuildingDepartment:ClaimsShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Position will be responsible for answering of Health Plan phone lines and response to Provider inquiries relating to claims, benefits, and Health Plan policies. The position is also responsible for developing and maintaining working relationships with CCHP Providers. The position is responsible for meeting department production and quality goals. Dependable attendance is a necessity due to the critical nature of the job function.Additional Information:Position will be responsible for answering of Health Plan phone lines and response to Provider inquiries relating to claims, benefits, and Health Plan policies. The position is also responsible for developing and maintaining working relationships with CCHP Providers. The position is responsible for meeting department production and quality goals. Dependable attendance is a necessity due to the critical nature of the job function.Education:

  • Excellent Customer Service Skills with ability to explain complicated claim issues to providers; ability to resolve conflict.
  • A minimum of High School diploma with three (3) years of experience in claim service area within Managed Care Organizations, Insurance, or related fields is required by the incumbent.About Us: Cook Children's Health Plan Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

Keywords: Disability Solutions, Fort Worth , Claims Analyst I, Professions , Fort Worth, Texas

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