Job Details
Business Systems Specialist
Reports to: Director of Claims and Client Services
PRIMARY PURPOSE: Business Systems Specialists provides the navigation, technical and process support for all business users. In addition, they perform data quality analysis, accounting services and ultimate adjustments, and create reports for internal and external use.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Provide basic department general systems navigation training
Provide training, support and troubleshooting for claims software platforms
Perform daily claims check processing, check pulls, refund research, recovery, and other financial transactions.
Provide data quality analysis and correction for financial, claims and policy related data.
Answers staff inquiries
Prepares various letters, reports and forms.
Loss Runs
Claim system reports
Letter templates for use in claim system
Monthly reporting maintenance
Follows up on requested information
Conducts QA of work performed and provides results to manager
Requirements:
Precise attention to detail
Strong analytical skills
Must demonstrate a strong knowledge of computers and software
Knowledge in generating process documentation
Strong written and verbal communication skills.
Competencies
Ethical Conduct.
Thoroughness.
Customer/Client Focus.
Communication Proficiency.
Work Environment
Team environment. This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Position Type/Expected Hours of Work
This is a full-time position. Standard days and hours of work are Monday through Friday, 8:30 a.m. to 5
p.m. Occasional evening and weekend work may be required as job duties demand.
Equal Opportunity Employer, M/F/D/V
Other Duties
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, responsibilities and activities may change at any time with or without notice.