Claims Processing Clerk, Sr. jobs in Georgia

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Sr. Salesforce Functional
  • Hancock Claims Consultants
  • Alpharetta, GA FULL_TIME
  • HANCOCK CLAIMS CONSULTANTS: 

    Come join the winning team at Hancock Claims Consultants! Why Hancock? We are an energetic organization looking for management who will bring strong leadership presence both internally and externally in support of our innovative strategic planning, consistent review & coaching of personnel, and stability for our carrier partners. 

    We have real industry knowledge from our beginnings as a contracting company founded in Atlanta, Georgia in 2003. Through our successes in the field, we received an invitation to pilot a program for an insurance carrier’s ladder assist program in 2004, providing higher and steeper access and storm damage assessment on their behalf. By 2008, we made the decision to stop all contracting work and begin to offer our services to meet the specialized needs of the insurance industry without any conflict of interest. At Hancock, we are committed to the insurance industry’s evolving needs and that dedication to teamwork has earned us recognition as the premier national ladder assist company. 

    Position Purpose: 

    We are seeking a Salesforce Cloud Professionals to work with the business process and development teams to design, implement and deploy Salesforce Cloud applications to a wide variety of clients at the enterprise level. You'll define business requirements and develop functional designs to create and effectively demonstrate solutions that address Hancock’s requirements. You'll facilitate solution design trade off sessions that evaluate potential design options and balance business value against the cost of development and ongoing maintenance effort. You'll need to have an understanding of Contact Centers and/or Field Service and the key operational metrics and performance indicators used to manage a Customer Service environment. You'll use your knowledge of other key technology enablers used within a Customer Service environment such as Computer Telephony Integration, Portal self-service, Knowledge or Case Management, to define complete solutions for Hancock. 

    Essential Duties and Responsibilities: 

    • Contributing to teams on Service Cloud engagements, spanning the standard project lifecycle from strategy/visioning through implementation/post-implementation support with responsibilities across business and technical work streams. 

    • Hands-on Configuration of Salesforce Service Cloud, FSM, Experience Cloud, Sales Cloud platforms. 

    • Driving collaborative Customer Service business process, business requirements and functional design discussions with Hancock Business Teams, focusing on business value to make real-time design decisions 

    • Supporting change management and business readiness activities to deploy Service Cloud, Field Service Lighting and/or Communities to end users 

    • Manage functional project team members. 

    • Running workshops, working closely with the Business teams, able to talk about tradeoffs e.g. terms of config vs code. 

    • Mapping functional requirements to Salesforce Service Cloud features and functionality. 

    • Disseminating leading practices on customer service processes and solutions 

    • Mentor other team members in customer service processes and Salesforce.com Service Cloud technology. 

    Qualifications: 

    • Bachelors in Computer Science, Engineering or related field with 7 years of CRM experience or Masters plus 5 years of CRM Experience. 

    • Minimum of 3 years of Contact Center, Customer Service and/or Field Service experience 

    • Minimum of 3 years of experience in Salesforce.com with a focus on Service Cloud and/or Field Service Lightning 

    • Minimum of 2 years of requirements gathering and design experience, including process mapping and gap analysis. 

    • Minimum of 2 years functional understanding of leading CRM and Customer Service technologies including Salesforce.com, SAP, Oracle, Siebel etc. 

    • Salesforce Certifications, including Service Cloud 

    • Well-rounded in both functional and technical aspects of a CRM engagement. 

    • Excellent communication and presentation skills. 

    • Combination of business analysis and technology implementation experience. 

    • Ability to adapt to a dynamic work environment and be creative within a team. 

    Preferences: 

    • Proven ability to build, work in and foster a team-oriented environment. 

    • Proven ability to work creatively and analytically in a problem-solving environment Desire to work in an information systems environment. 

    • Excellent communication (written and oral) and interpersonal skills. 

    • Excellent leadership and management skills. 

    • Familiarity with Agile Scrum Projects and Atlassian Suite of Tools- JIRA, Confluence  

    Work Schedule:   

    • Mondays thru Fridays, 9:00am to 6:00pm (approximate) 

    • Schedule may change according to business operational needs to include weekend hours 

    • Remote but must be able to work standard EST/EDT hours between 8 am- 5 pm every weekday.  

    Environmental Factors: 

    • Work is performed indoors in a typical office environment 

    • Possibility of travel to locations outside of the office environment 

    Physical Skills and Abilities: 

    • Ability to stand, walk, and manipulate (lift, carry, move) light to medium weights of 10 to 50 pounds 

    • Ability to bend, squat, and reach above shoulders 

    • Hand-eye coordination, arm, hand, and finger dexterity including ability to grasp and operate equipment 

    • Visual acuity to use a keyboard, operate equipment, and read technical information 


      Company Conformance Statement: 

    In the performance of their respective tasks and duties all employees are expected to conform to the following: 

    • Perform quality work within deadlines with or without direct supervision. 

    • Interact professionally with other employees, customers, independent roof inspection subcontractors and suppliers. 

    • Work effectively as a team contributor on all assignments. 

    • Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations 

    Disclaimer: 

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice. 

  • 1 Month Ago

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Material Control Clerk
  • International Auto Processing LLC
  • Brunswick, GA FULL_TIME
  • At IAP LLC, the Material Control Clerk is responsible for loading and unloading delivery trucks, pulling parts for pick lists, assisting in shipping of parts for customers, and maintaining warehouse i...
  • 16 Days Ago

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Shipping and Billing Clerk- NIGHT SHIFT
  • COASTAL PROCESSING, LLC
  • Louisville, GA FULL_TIME
  • Purpose/Scope: Position ensures that all paperwork is completed correctly and entered. Duties & Responsibilities: Ensures that all paperwork is free from errors on all and done in a timely manner. Ens...
  • 5 Days Ago

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Supervisor Claims Processing
  • Delta Dental Ins.
  • Alpharetta, GA FULL_TIME
  • JOB DESCRIPTION The Supervisor of Claims Processing is a people leader role responsible for providing leadership, support, and development of Claim Examiners and Claim Processing Coordinators. This ro...
  • 1 Month Ago

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Processing Clerk
  • Five Star Food Service, Inc.
  • La Grange, GA FULL_TIME
  • At Five Star Food Service, the Processing Clerk position will assist in administrative support and data entry support to various departments and managers. Attention to detail and an excellent level of...
  • 1 Month Ago

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Sr. Processing Technician
  • Default Board
  • Athens, GA FULL_TIME
  • Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You can, too!] There are so many ways Oc...
  • 9 Days Ago

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Driver/Shipping and Receiving Associate
  • CPP- Boston
  • Braintree, MA
  • Wollaston Alloys/CPP Boston is seeking a Shipping and Receiving Clerk to join our team! This is an excellent opportunity...
  • 4/25/2024 12:00:00 AM

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Litigation Secretary
  • Rivkind, Margulies & Rivkind, P.A.
  • Miami, FL
  • Rivkind Margulies & Rivkind, P.A. is seeking to hire a litigation assistant to join our team. This position is responsib...
  • 4/24/2024 12:00:00 AM

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Order Processing Billing Clerk 2904 (QuickBooks)
  • Ultimate Staffing
  • Ontario, CA
  • Job Title: Order Processing and Billing Clerk 2904 Compensation: $23-$26 per hour Schedule: Monday-Friday, 8:30 AM to 5:...
  • 4/24/2024 12:00:00 AM

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Medical Receptionist
  • Insight Global
  • Orlando, FL
  • Required Skills and Experience * High School Diploma or GED required 2 years of experience in a physician’s clinic, hosp...
  • 4/24/2024 12:00:00 AM

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Human Resources Director
  • TATRO
  • Colorado Springs, CO
  • The Human Resources Director will oversee all aspects of the Human Resources Department and ensure that TATRO stays in c...
  • 4/24/2024 12:00:00 AM

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Data Entry Clerk
  • Acro Service Corp
  • Buda, TX
  • Description: Receive all documents and enter the data into the on-line system on the PC. Operate a data entry device to ...
  • 4/24/2024 12:00:00 AM

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Group Administration Clerk
  • Delta Dental Plan Of Michigan Inc
  • McKinney, TX
  • Job TitleGroup Administration Clerk LocationDelta Dental MI-Okemos-DDPM Location SpecificsThis is a remote position. Req...
  • 4/24/2024 12:00:00 AM

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Warranty Claims Processing Clerk
  • Active Staffing Services
  • Riverdale, NJ
  • Job Description Job Description A dynamic and growing Warranty Claims company is looking to expand its office team in Ri...
  • 4/22/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$46,445 to $57,285

Claims Processing Clerk, Sr. in Dallas, TX
Get full salary data for Insurance Claims and Policy Processing Clerk, including data for your industry, geographic region or metro area and employer size.
January 17, 2020
Claims Processing Clerk, Sr. in Moline, IL
Claims or legal experience is preferred, but not mandatory.
January 27, 2020
Claims Processing Clerk, Sr. in Lawrence, MA
These professionals handle much of the paperwork required when issuing and processing insurance policies and claims.
November 28, 2019