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Claims Specialist
WEXClaims Specialist responsible for processing claims for various Employer benefit plans and ensuring accuracy according to IRS regulations. Collaborating with departments and supporting continuous improvement efforts.
About the role
Key responsibilities & impact- Review and process claims for various Employer benefit plans
- Daily claim processing of all FSA claim types
- Determine eligibility utilizing available resources
- Ensure workload priorities and turnaround times are met
- Properly process claim appeals
- Assist Claims Supervisors with projects
- Collaborate with other departments when appropriate
- Develop and update procedures as needed
Requirements
What you’ll need- Claims Specialist must ensure accuracy in processing claims
- Detail oriented and fast paced work environment
- Familiarity with IRS regulations and employer plan rules
- Strong troubleshooting skills for software issues
- Ability to assist with operational functions and projects as assigned
- Capability to communicate needed changes in processes
- Promote continuous learning and knowledge sharing
Benefits
Comp & perks- health, dental and vision insurances
- retirement savings plan
- paid time off
- health savings account
- flexible spending accounts
- life insurance
- disability insurance
- tuition reimbursement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingFSA claimseligibility determinationclaim appeals processingprocedure developmenttroubleshooting
Soft Skills
detail orientedability to prioritizecollaborationcommunicationcontinuous learning