Non-CSR: Claims Customer Service

"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".

Job Title: Claims Representative

Location: Columbia, SC 29229

Duration: 6-Months Contract to Hire

Pay Rate: $15.00 an hour on W2

Job Description:

Duties & Responsibilities:

• Conduct quality control audits, reviews, and monitoring of departmental operations, including claims, membership, customer service, workflow, and processing support systems.
• Identify problems, analyze root causes, and recommend process improvements.
• Perform routine quality audits to ensure compliance with established standards, procedures, and methodologies.
• Recognize and document potential fraud and abuse situations.
• Provide one-on-one guidance to new hires upon completion of initial training.
• Offer feedback and coaching to operations and training teams on assessed errors to facilitate additional training as needed.
• Compile data and generate reports on quality performance for operational teams.
• Identify areas for improvement and recommend changes to training materials, systems, or procedures.
• Document findings and prepare recommendations for process enhancements.
• Assist with training documentation and the development of new processes and procedures.
• Stay updated on guidelines, work instructions, and industry standards.

Required Skills & Abilities:

• Strong analytical, customer service, and organizational skills.
• Proficiency in basic business math.
• Ability to document and resolve problems effectively.
• Strong written and verbal communication skills.
• Ability to identify and recommend process improvements.

Software & Tools:

• Proficiency in Microsoft Office.

Work Environment:

• Typical office setting.

Education & Experience:

• Required: High School Diploma or equivalent.
• Experience: At least 1 year in claims processing, customer service, auditing, training, analysis, or operations.
• Preferred: Experience in the healthcare or insurance industry.

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.