Claims Processing Director jobs in Manchester, NH

HRC Total Solutions, LLC. is a third party administrator of pre-tax benefit accounts and COBRA. As a recognized leader in our services, we continue to build and expand our talented team of professionals! We are seeking a detailed and reliable Claims/Enrollments Specialist to join our fast-paced, high energy team. In this position you'll work with the Claims team to process participant claims. You'll also work with the Enrollments team to enter, update and term participants in the CRM systems and their elected pretax accounts. You'll often handle numerous client accounts, so attention to detail and excellent organizational skills will be keys to success in this position!

This position has the following schedule: Monday through Friday 8:00 am-5:00 pm.

Training is onsite with the option to work remote, hybrid, or onsite after

The rate of pay for this position is $16.00 - $18.00/hour

Responsibilities

• Processes claim adjustments
• Communicates with participants and other departments to conduct claim research and ensure that all information and documentation is received for processing in a timely manner
• Ensures payment for valid claims are made to their policyholders/participants
• Processes individual and group enrollments by entering their information and elections into the CRM Systems
• Imports and exports carrier file feeds
• Processes and researches cases and inquiries in the claims and enrollments queues
• Collaborates with other departments and POC’s via e-mail and phone to research enrollment questions
• Review all major deliverables to ensure quality standards and client expectations are met.

Skills and Experience

• Excellent attention to detail
• Service-oriented and ability to research and resolve enrollment and claim cases
• Strong initiative and resourcefulness
• Ability to understand and learn HRCTS' plans and IRS regulations
• Strong organization and prioritization
• Ability to import/export .txt , .csv and other files
• proficient computer skills with the ability to learn new software
• Experience with Microsoft Excel and Google Sheets preferred

We offer a comprehensive benefit package which includes:

• Medical
• Dental
• Vision
• 401k Retirement Plan with an employer match
• 100% Company Paid Short Term Disability
• 100% Company Paid Long Term Disability
• 100% Company Paid Life Insurance
• Paid Time Off
• Holiday Pay
• Retirement Plan
• And so much more!

*All candidates being considered for employment must pass a pre-employment drug screen and background check.*

HRCTS provides equal employment and advancement opportunities to all qualified candidates without regard to race, color, religion, sex, sexual orientation, age, physical or mental disability, genetic information, veteran status, or any other protected class