Job Title: Experienced Data Entry and Claims Specialist – Driving Efficiency and Excellence in arenaflex's Insurance Operations
Job Description:
About arenaflex
At arenaflex, we are a leading innovator in the insurance industry, dedicated to providing exceptional service and support to our customers. Our team is passionate about delivering high-quality solutions that meet the evolving needs of our clients. As a Data Entry and Claims Specialist, you will play a vital role in driving efficiency and excellence in our insurance operations.Job Summary
We are seeking an experienced Data Entry and Claims Specialist to join our team at arenaflex. As a key member of our operations team, you will be responsible for supporting and promoting change management initiatives, meeting departmental quality and service standards, and delivering routine work independently in a timely manner. You will also leverage critical thinking and problem-solving skills to create and modify member level records, maintain accurate member records, and apply policy provisions to determine necessary changes.Key Responsibilities:
- Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
- Meets or exceeds departmental quality and service standards.
- Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately.
- Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelines.
- Determines eligibility and confirms effective dates for benefit elections based on contractual guidelines.
- Leverages critical thinking and problem-solving skills to create and modify member level records across multiple products, applications, platforms.
- Maintains accurate member records by verifying dates, names, salary figures, and other information provided by groups.
- Applies policy provisions for effective dates, evidence of insurability and other pertinent information to determine necessary changes.
- Considerate of what the customer will experience in all actions. Recognizes what needs to be done to meet customer needs and demonstrates flexibility and responsiveness on system work independently.