Senior Service Processor, Claims Payment Services

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Set up intricate claims payments within the system.

• Accurately and thoroughly document claims.

• Update and manage payment tracking systems with essential dates and outcomes.

• Collaborate with internal and external teams to ensure financial accuracy and stability for claimants.

• Communicate via email and phone with employers, claims specialists, and claimants to gather financial data and additional information.

• Collect and review information from claim case managers, claimants, vendors, and customer contacts.

• Operate independently under established procedures and guidelines while meeting service-level agreements and performance guarantees.

• Make both routine and non-routine decisions within set procedures and guidelines.

• Apply knowledge of the expanding role to increasingly complex cases.

• Create follow-up tasks for claims examiners that require payment adjustments or oversight.

• Identify and take action on claims with potential benefit offsets based on other income sources.

• Comply with Sarbanes-Oxley financial controls, corporate compliance, and GAAP.

⛳️ Requirements

• High School diploma or GED is required.

• 2–3 years of progressive experience in a financial services setting, such as payroll services, directly related to the responsibilities of this role.

• Strong verbal and written communication skills.

• Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.

• Ability to collaborate effectively in a team environment.

• Exceptional organizational skills with the ability to prioritize, multitask, and maintain a sharp focus on detail.

• Capability to thrive in a fast-paced production environment and adapt as necessary.

• High comfort level working with Excel documents and mathematical concepts, including addition, subtraction, multiplication, division, averages, and variances.

• Comfortable articulating and modifying provisions and working with contract language.

🏝️ Benefits

• Clearly defined career paths and job levels.

• Opportunities for leadership development and virtual training.

• PTO/parental leave.

• Competitive 401K and employee benefits.

• Complimentary financial counseling, health coaching, and employee assistance program.

• Tuition assistance program.

• Flexible work arrangements.

• Effective productivity and technology tools along with training.

• Eligibility for an annual incentive program (discretionary).

• Potential for long-term incentives.

• Availability of sales incentives.

• Standard benefits package.

• Equal opportunity and inclusive work environment.