[Remote] Claims Specialist

Note: The job is a remote job and is open to candidates in USA. WEX is a company that offers various Employer benefit plans, and they are seeking a Claims Specialist to review and process claims according to IRS regulations and specific employer plan rules. The role requires attention to detail and the ability to work in a fast-paced environment while ensuring accuracy in claim processing.

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

Skills

• Properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules
• Prepared to work in a detail oriented and fast paced environment with a high level of accuracy
• 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

Benefits

• Health, dental and vision insurances
• Retirement savings plan
• Paid time off
• Health savings account
• Flexible spending accounts
• Life insurance
• Disability insurance
• Tuition reimbursement

Company Overview