Claims Specialist

🔥 15 hours ago

🌾 North Dakota – Remote

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💵 $17 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of WEX

WEX

5001 - 10000 employees

Founded 1983

🏥 Healthcare

📦 Logistics

✈️ Travel

💰 $310M Post-IPO Debt on 2020-06

Healthcare • Logistics • Travel

WEX is a global commerce platform specializing in various business solutions to address operational challenges. They provide services in managing and mobilizing fleets with their fuel card systems, offering comprehensive fleet management and analytics. Additionally, they focus on business payments solutions that streamline processes across industries, enhancing efficiency and security. WEX is also involved in employee benefits administration, helping organizations effectively manage health and reimbursement accounts. Their diverse range of services caters to numerous sectors, emphasizing innovation, sustainability, and effective solutions for business growth.

📋 Description

• Review and process claims for various employer benefit plans according to IRS regulations and specific employer plan rules • Process claims daily, including all FSA claim types • Determine claim eligibility using available resources • Follow workload priorities and meet turnaround times • Process claim appeals • Troubleshoot software issues • Assist with other operational functions • Coordinate with other departments when appropriate • Assist Claims Supervisors with assigned projects • Work with Claims Supervisors to develop new processes and procedures • Communicate process changes and develop or update procedures • Promote continuous learning and knowledge sharing

🎯 Requirements

• Detail-oriented and able to work in a fast-paced environment • High level of accuracy • Knowledge of IRS regulations and employer benefit plan rules • Ability to process all FSA claim types • Ability to determine eligibility using available resources • Ability to meet workload priorities and turnaround times • Ability to process claim appeals • Ability to troubleshoot software issues • Ability to coordinate with other departments • Continuous improvement approach to work

🏖️ Benefits

• Health insurance • Dental insurance • Vision insurance • Retirement savings plan • Paid time off • Health savings account • Flexible spending accounts • Life insurance • Disability insurance • Tuition reimbursement • Quarterly or annual bonus eligibility for non-sales roles

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