Claims Processing Clerk, Sr. jobs in Atlanta, GA

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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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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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...
  • 4 Days Ago

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Sr. Processing Technician
  • Default Board
  • Atlanta, 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...
  • 8 Days Ago

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Commercial General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Alpharetta, GA FULL_TIME
  • Commercial General Liability Claims Adjuster ALPHARETTA, GA 30022 | TEMPORARY $35.00 - $45.00 PER HOUR, DEPENDING ON EXPERIENCE Job Description Our client is seeking to add multiple Commercial General...
  • 1 Month Ago

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GA - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Atlanta, GA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 29 Days Ago

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0 Claims Processing Clerk, Sr. jobs found in Atlanta, GA area

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Home Health Medical Office personnel -Experience using Availity RCM, MMIS, QuickBooks
  • Sanzie HealthCare Services Inc
  • Fayetteville, GA
  • Payroll/Billing - (Must be able to utilize Availity) Fayetteville, GA Sanzie Healthcare Services Inc is looking for an I...
  • 4/19/2024 12:00:00 AM

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Project Manager with underwriting- life and Annuity
  • Infosys McCamish Systems
  • Atlanta, GA
  • Role : Senior Project Manager with New Business Management (PAS) Location : Atlanta, GA or Boston, MA Mode : Full Time A...
  • 4/19/2024 12:00:00 AM

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Entry Level Insurance Sales Agent
  • Bankers Life
  • Atlanta, GA
  • Bankers Life® seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ea...
  • 4/19/2024 12:00:00 AM

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Manager, Product Compliance - REMOTE
  • Net Health
  • Atlanta, GA
  • About Net Health Belong. Thrive. Make a Difference. Are you looking for a meaningful and satisfying career where you hav...
  • 4/19/2024 12:00:00 AM

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Attorney - Insurance Defense Associate - National Law Firm - Hybrid Remote
  • Lexitas Legal Talent Outsourcing
  • Atlanta, GA
  • Our client, a prominent national law firm, is seeking an Associate to join their Westchester County, NY office. This pos...
  • 4/19/2024 12:00:00 AM

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Medical Claims Processor
  • The Hird - USA
  • Atlanta, GA
  • Responsibilities: Understanding and interpreting health plan benefits and determining patient eligibility Maintaining pa...
  • 4/19/2024 12:00:00 AM

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The Best Independent Insurance Agent Contract is Now Available in GA
  • Transamerica Agency Network
  • Atlanta, GA
  • Job Description Job Description For the first time ever, we are looking for licensed life insurance advisors, Teams and ...
  • 4/19/2024 12:00:00 AM

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Actuarial Associate
  • ClientSolv Technologies
  • Atlanta, GA
  • Company Description ClientSolv Technologies is an IT solution firm with over a decade of experience serving Fortune 1000...
  • 4/16/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$47,021 to $57,996
Atlanta, Georgia area prices
were up 1.4% from a year ago

Claims Processing Clerk, Sr. in Anchorage, AK
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February 10, 2020
Claims Processing Clerk, Sr. in Chattanooga, TN
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Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020