State of Florida

Claims Processing Specialist

State of Florida

Tallahassee, FL, USA
Full-TimeDepends on ExperienceEntry LevelHigh school or equivalent
Job Description

Welcome to the State of Florida's Claims Processing Specialist role! We are seeking a highly organized and detail-oriented individual to join our team and assist in the processing of claims for our citizens. In this role, you will play a crucial part in ensuring timely and accurate processing of claims, providing exceptional customer service, and maintaining compliance with state regulations. If you are a dedicated team player with strong analytical skills and a passion for helping others, we encourage you to apply. See below for the required qualifications and become a part of our dynamic team at the State of Florida.

  1. Process Claims: Responsible for accurately and efficiently processing claims submitted by citizens of the State of Florida.
  2. Maintain Compliance: Ensure all claims processing procedures adhere to state regulations and guidelines.
  3. Provide Customer Service: Address inquiries and concerns from citizens and stakeholders in a timely and professional manner.
  4. Organize and Prioritize Workload: Manage a high volume of claims and prioritize tasks to meet processing deadlines.
  5. Attention to Detail: Thoroughly review and analyze claims to ensure accuracy and completeness.
  6. Team Collaboration: Work closely with team members to effectively process claims and resolve any issues that may arise.
  7. Data Entry: Enter and maintain claim information in a timely and accurate manner.
  8. Documentation: Maintain detailed records and documentation of all claims processed.
  9. Quality Assurance: Conduct regular audits to ensure accuracy and compliance with state regulations.
  10. Training and Development: Stay up-to-date with state regulations and attend training sessions to enhance skills and knowledge.
  11. Confidentiality: Handle sensitive information with the utmost confidentiality and discretion.
  12. Problem Solving: Identify and resolve any issues or discrepancies in the claims processing process.
  13. Time Management: Prioritize and manage time effectively to meet processing deadlines.
  14. Reporting: Generate reports on claims processing and provide updates to management as needed.
  15. Customer Satisfaction: Strive to provide exceptional customer service to citizens and stakeholders throughout the claims process.
Where is this job?
This job is located at Tallahassee, FL, USA
Job Qualifications
  • Excellent Communication And Customer Service Skills.

  • Bachelor's Degree In Business Administration, Healthcare Management, Or A Related Field.

  • Minimum Of 2 Years Of Experience In Claims Processing, Preferably In A Government Or Healthcare Setting.

  • Strong Knowledge Of State And Federal Laws And Regulations Related To Claims Processing.

  • Proficient In Computer Systems And Software, Including Microsoft Office And Claims Processing Software.

Required Skills
  • Data Entry

  • Communication

  • Time Management

  • Attention to detail

  • customer service

  • Analytical Thinking

  • Medical Terminology

  • Teamwork

  • Organization

  • Claims

  • Problem-Solving

  • Multi-tasking

Soft Skills
  • Communication

  • Emotional Intelligence

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Claims Processing Specialist in Tallahassee, FL, USA is between $32,000 and $46,000 per year. This may vary depending on the specific company, level of experience, and job responsibilities.

Additional Information
State of Florida is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMay 2nd, 2024
Apply BeforeJuly 20th, 2025
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About State of Florida

Florida is the southeasternmost U.S. state, with the Atlantic on one side and the Gulf of Mexico on the other. It has hundreds of miles of beaches. The city of Miami is known for its Latin-American cultural influences and notable arts scene, as well as its nightlife, especially in upscale South Beach. Orlando is famed for theme parks, including Walt Disney World.

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